TW201127375A - Taste masked topiramate composition and an orally disintegrating tablet comprising the same - Google Patents

Taste masked topiramate composition and an orally disintegrating tablet comprising the same Download PDF

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TW201127375A
TW201127375A TW100100744A TW100100744A TW201127375A TW 201127375 A TW201127375 A TW 201127375A TW 100100744 A TW100100744 A TW 100100744A TW 100100744 A TW100100744 A TW 100100744A TW 201127375 A TW201127375 A TW 201127375A
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taste
masking
disintegrating tablet
orally disintegrating
rti
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TW100100744A
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Gopi M Venkatesh
Troy M Harmon
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Eurand Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/41641,3-Diazoles
    • A61K31/41781,3-Diazoles not condensed 1,3-diazoles and containing further heterocyclic rings, e.g. pilocarpine, nitrofurantoin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0056Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/06Anti-spasmodics, e.g. drugs for colics, esophagic dyskinesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/08Antiepileptics; Anticonvulsants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2077Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
    • A61K9/2081Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets with microcapsules or coated microparticles according to A61K9/50
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5005Wall or coating material
    • A61K9/5021Organic macromolecular compounds
    • A61K9/5026Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5005Wall or coating material
    • A61K9/5021Organic macromolecular compounds
    • A61K9/5036Polysaccharides, e.g. gums, alginate; Cyclodextrin
    • A61K9/5042Cellulose; Cellulose derivatives, e.g. phthalate or acetate succinate esters of hydroxypropyl methylcellulose
    • A61K9/5047Cellulose ethers containing no ester groups, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5073Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings
    • A61K9/5078Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings with drug-free core

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  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Chemical & Material Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Organic Chemistry (AREA)
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  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
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  • Neurosurgery (AREA)
  • Pain & Pain Management (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

In various embodiments, the present invention is directed to a taste masked pharmaceutical composition comprising a therapeutically effective amount of taste masked sulfamate-substituted monosaccharide particles comprising a sulfamate-substituted monosaccharide or a pharmaceutically acceptable salt or derivative thereof that are coated with one or more taste-masking layers, and optionally one or more of taste-masked neltrexone, 5-HT3 receptor antagonist, phentermine, and vitamin B-12. The present invention relates to methods of making the taste masked and ODT compositions, and methods of using the compositions for treating a patient subject to an epileptic condition, migraines, dysphagia, achieving / maintaining weight loss, or alcoholism or drug addiction.

Description

201127375 六、發明說明: 相關申請的交叉引用 本申請要求於20 1〇年!月8曰提交的美國臨時申請號 6 1/293,45 5的權益,出於所有的目的將其藉由引用以其全 部内容結合在此。 【先前技術】 由於害怕氣。更,吞咽困難或者下儀困難在所有年齡組中 是常見的。例如,觀察到在約35%的一般人群中、以及另 外的30%-40%的中年以上的被送至專門機構的患者中以及 i 8%-22%的長期護理機構中的所有人員中(他們中很多人 需要定期使用藥物来纟隹括#彳 挥待他們的生活質量)可能患有吞咽 困難。這可能導致對包括口 服樂物的治療較差的順從性或 者甚至不順從’並且因此對 一 響。 此對此類治療的療效具有負面影 在單一療法或者輔助療法中 r對於患有癲癎病的串去的 要治療目標係維持足夠的括 心者的主 的痛痛發作。在兩者物水平並且防止另外 藥方案的順從性對於在血液二二對—處方藥的給 的。 、维持>α療樂物6勺濃度係必要 托吡酯,2,3:4,5·雙·〇_異凸& w 兵亞兩基-β-D-吡喃耍地产* *办 鹽’具有以下結構式⑴. 果糖氰基%酉欠201127375 VI. INSTRUCTIONS: CROSS-REFERENCE TO RELATED APPLICATIONS This application is hereby filed in 2011. The U.S. Provisional Application No. 6 1/293,45 5, filed on March 8th, is hereby incorporated by reference in its entirety for all its purposes. [Prior Art] Because of fear of gas. Furthermore, difficulty swallowing or difficulty in the downtime is common in all age groups. For example, it was observed that in about 35% of the general population, and another 30%-40% of middle-aged patients who were sent to specialized agencies and among all 8%-22% of long-term care institutions (Many of them need regular medications to refrain from the quality of their lives.) They may have difficulty swallowing. This may result in poor compliance or even non-compliance with the treatment of oral music and is therefore audible. This has a negative effect on the efficacy of such treatments in monotherapy or adjuvant therapy. r For a group of patients with epilepsy, the target of treatment is to maintain a sufficient painful episode of the subject. At both levels and to prevent compliance with additional drug regimens for two pairs of prescription drugs in the blood. , maintain > alpha therapeutic material 6 scoop concentration is necessary for topiramate, 2,3:4,5 · double · 〇 _ different convex & w bingya two base - β-D-pyranium real estate * * salt Has the following structural formula (1). Fructose cyano%

I53421.doc 201127375 托吡酯係市售產品T0PAMAX®中的活性成分, TOPAMAX®被用作一抗癲癇藥物β托吡酯被廣泛開方作為 患有部分發作或者原發性全身性強直_陣攣性癲癎發作的 10歲年齡以及更大年齡的患者中一初始單一療法。托吡酯 片劑或者膠囊還被指出作為用於患有部分發作性癲癎發 作、或者原發性全身性強直-陣攣性癲癇發作的成人以及 2 16歲年齡的兒科患者,以及患有與Lenn〇x_Gastaut综合 征相關聯的癲癇發作的2歲年齡以及更大年齡的患者中的 輔助治療。托心旨還被指出用於成人用於預防偏頭痛。 TOPAMAX®的片劑係可以以25 mg、5〇叫、1〇〇叫、以及 200 mg的用於口服的圓形片劑的形式獲得的,或者 TOPAMW膠囊係可以以} 5 mg以及Μ叫的用於口服的分 散型膠囊的形式獲得的,該分散型膠囊以整個膠囊或將其 打開並且m到軟性食物上進行口服給藥。然而,托。比§旨具 有一種苦味。 ODT配製品應該是適σ的,例如它們應該具有可接受的 ,官特性(如好的味道和口感)以維持患者的順從性或對給 樂方案的堅持’因為0DT片劑被設計為在患者的σ腔令崩 解。ODT組合物還應該展示出可接受的藥物代謝動力學和 生物利用率特徵以便提供比得上—非qdt劑型(例如常規 的片劑、膠囊,等)的一種所希望的療效,從而避免相對 於此類常規劑型的昂貴的體内療效測試以及確認。對於一 苦味的㈣,-晴配製品通常需要將—掩味層用於含有 樂物的顆粒上以提高該0DT配製品的感宫性能,從而該溶 153421.doc 201127375 解的ODT的味道和口感直到該劑型的内容物被吞咽為止 (典型地沒有水或其他流體)對於受試者而言是仍然是可接 受的。然而,掩味可能抑制或延遲藥物釋放,由此提供不 可接受的藥物代謝動力學特性。相反地,該配製品的某些 組分可以促進快速釋放,並且因此可能導致不希望的味道 或口感特性。 根據當地的規章指導,例如「Guideline f〇r Bi〇e叫丨awI53421.doc 201127375 Topiramate is the active ingredient in T0PAMAX®, a commercially available product, TOPAMAX® is used as an anti-epileptic drug, beta topiramate, as a pre-existing or primary systemic tonic-clonic epileptic seizure. An initial monotherapy in patients aged 10 years and older. Topiramate tablets or capsules are also indicated for use in adults with partial episodes of epileptic seizures, or primary systemic tonic-clonic seizures, as well as pediatric patients aged 2-16 years, and with Lenn〇 Adjuvant therapy in patients aged 2 years and older in seizures associated with x_Gastaut syndrome. The purpose of the care was also pointed out for adults to prevent migraine. TOPAMAX® tablets can be obtained in the form of 25 mg, 5 bark, 1 bark, and 200 mg round tablets for oral administration, or TOMAPM capsules can be 5 mg and barked Obtained in the form of a dispersible capsule for oral administration, the dispersion capsule is orally administered as a whole capsule or by opening it and m to a soft food. However, care. There is a bitter taste than the §. ODT formulations should be sigma, for example they should have acceptable, official characteristics (such as good taste and mouthfeel) to maintain patient compliance or adherence to the music program 'because 0DT tablets are designed to be in patients The σ cavity causes disintegration. ODT compositions should also exhibit acceptable pharmacokinetic and bioavailability characteristics to provide a desired therapeutic effect comparable to non-qdt dosage forms (eg, conventional tablets, capsules, etc.), thereby avoiding relative Expensive in vivo efficacy testing and validation of such conventional dosage forms. For a bitter (four), a clear formulation usually requires a taste masking layer to be applied to the particles containing the music to improve the sensation properties of the 0DT formulation, so that the taste and taste of the ODT of the solution is 153421.doc 201127375 Until the contents of the dosage form are swallowed (typically without water or other fluids), it is still acceptable to the subject. However, taste masking may inhibit or delay drug release, thereby providing unacceptable pharmacokinetic properties. Conversely, certain components of the formulation may promote rapid release and, therefore, may result in undesirable taste or mouthfeel characteristics. According to local regulations, such as "Guideline f〇r Bi〇e is called 丨aw

Studies^ Generic Pr〇ducts」(日本政府規章要求),總體 上,一藥物產品還被要求不僅符合某些生物等效性指標, 而且可能還需要符合某些溶出度要求。例如,如果一測試 產以及一參照產品的溶出率顯示出「對於一鹼性藥品在 Ρΐί=6·8或PH在3·〇與6.8之間在一溶出介質中一特異的顯著 的差異」,可能需要在具有低胃酸度的受試者體内進行一 種昂貴的、耗時的、和/或「不易募集的」生物等效性研 究。 術顯著的差異」可以表示或者⑴當具有較高溶出 度的產品的平均溶出率達到8〇%時的時間點處,其他產品 的平均溶出率未達到5G%;或者⑺#在規定的測試時間= 兩種產品的平均溶出率沒有❹m%J1且在規定的測試時 間結束時具有較慢溶出的其他產品的平均溶出率未達到該 其他產品的平均溶出率的60%。 因此,一可接受的ODT配製品應該平衡上述該等矛盾的 特徵以便提供—具有可接受的體外和/或體内溶出曲線以 及可接受的藥物代謝動力學的適口的(例如,掩味的)、快 153421.doc 201127375 速崩解的組合物。 虽刖尚無符合以下規格的包括托吡酯微顆粒的〇DT配製 σ · 〇〇 · >含有托吡酯的微顆粒,該等微顆粒不僅被有效地掩味 而且該等微顆粒顯示出一符合規章要求的溶出曲線; > ODT包括快速分散的粒料從而當與口腔中的唾液接觸 時快速崩解’形成一含有掩味的包含托β比酯的微顆粒 的光滑的、易於吞咽的懸浮液; >含有托η比醋的顆粒具有平均粒徑不大於4〇〇 μηι,以便 在被吞咽之前提供光滑的口感並且不留有後味(即, 不具有砂礫味或白堊味的很少或最小的藥物釋放); >當到達胃中時,提供托吡酯的快速的、基本上完全的 釋放以便與一參考列表藥物(RLD)生物等效(即,立即 釋放參考清單藥物產品,ΤΟΡΑΜΑΧ®)。 > ODT配製品顯示出可接受的片劑硬度和脆性以便適合 用於封裝入高密度聚乙烯(HDPE)瓶或泡罩中用於運 輸和商業配送。 【發明内容】 本揭洛涉及掩味的藥物組合物。具體地,本揭露涉及一 掩味的藥物組合物,該組合物包括一治療有效量的掩味的 氨基磺酸鹽取代的單糖顆粒,該等顆粒包括一種氨基磺酸 鹽取代的單糖或其一藥學上可接受的鹽或衍生物,並且其 中該等微顆粒係用一或多個掩味層包被的以便掩蓋該氨基 石頁酸鹽取代的單糖的味道;其中所述掩味層包括至少一種Studies^ Generic Pr〇ducts (required by Japanese government regulations), in general, a pharmaceutical product is also required to meet not only certain bioequivalence indicators, but also certain dissolution requirements. For example, if the dissolution rate of a test product and a reference product shows "a specific significant difference in a dissolution medium for an alkaline drug at Ρΐί=6·8 or PH between 3·〇 and 6.8," An expensive, time consuming, and/or "non-raised" bioequivalence study may be required in a subject with low gastric acidity. Significant differences can mean or (1) at the time point when the average dissolution rate of the product with higher dissolution reaches 8〇%, the average dissolution rate of other products does not reach 5G%; or (7)# at the specified test time = The average dissolution rate of the two products is not ❹m%J1 and the average dissolution rate of other products with slower dissolution at the end of the specified test time does not reach 60% of the average dissolution rate of the other products. Thus, an acceptable ODT formulation should balance these contradictory features to provide a palatable (e.g., taste masking) with acceptable in vitro and/or in vivo dissolution profiles and acceptable pharmacokinetics. Fast 153421.doc 201127375 Fast disintegrating composition. Although there are no 〇DT formulations including topiramate microparticles that meet the following specifications: σ · 〇〇· > topiramate-containing microparticles, which are not only effectively masked but also exhibit a regulatory requirement Dissolution curve; > ODT includes rapidly dispersing pellets to rapidly disintegrate upon contact with saliva in the mouth to form a smooth, easy-to-swallow suspension containing a taste-masked microparticle comprising a beta-beta ester; > particles containing enthalpy than vinegar have an average particle size of no more than 4 μηηι to provide a smooth mouthfeel before being swallowed without leaving a aftertaste (ie, little or minimal without grit or whiteness) Drug Release); > Provides a rapid, substantially complete release of topiramate when it reaches the stomach to be bioequivalent to a reference list drug (RLD) (ie, immediate release of the reference list drug product, ΤΟΡΑΜΑΧ®). > ODT formulations exhibit acceptable tablet hardness and brittleness for use in packaging into high density polyethylene (HDPE) bottles or blister for transportation and commercial distribution. SUMMARY OF THE INVENTION The present invention relates to a taste masking pharmaceutical composition. In particular, the present disclosure relates to a taste masked pharmaceutical composition comprising a therapeutically effective amount of taste-masked sulfamate-substituted monosaccharide particles comprising a sulfamate-substituted monosaccharide or a pharmaceutically acceptable salt or derivative thereof, and wherein the microparticles are coated with one or more taste masking layers to mask the taste of the aminoglycolate substituted monosaccharide; wherein the taste masking Layer includes at least one

S 153421.doc 201127375 不溶于水的聚合物。本揭露還涉及一立即釋放(ir)口腔崩 解片(咖),!亥口腔崩解片包括__治療有效量的一個顆粒 的集合,其中每個顆粒包括⑴用一或多個掩味層包被的微 顆粒,該等微顆粒包括托η比酿或一種氨基石黃酸鹽取代的單 糖或其藥子上可接丈的鹽或衍生物,以及⑴)快速分 政的微粒劑,該等微粒劑包括至少一種崩解劑以及至少— 種糖醇和/或至少一種糖類;其中該味道層/掩味層包括— 不溶于水的聚合物。本揭露還涉及製造該掩味的以及〇〇τ 組合物的方法,以及使用本發明的組合物用於治療患一種 _癇病症、瘤癇發作或偏頭痛的患者、和/或用於實現/維 持體重減輕、和/或處理或治療酒精中毒和/或藥物成 方法。 在-實施方式中,本發明係針對—掩味的藥物組合物, 該組合物包括-治療有效量的掩味的氨基確酸鹽取代的單 糖顆粒,料顆粒包括—種氨基料鹽取代的單糖或其— 藥學上可接受的鹽或衍生物,其中所述顆粒係用一或多個 掩味層包被的以便掩蓋該氨基續酸鹽取代的單糖的味道. ^中所述掩味層包括至少—種不溶于水的聚合物。在另_ 實她方式t,本發明係針對__ 口腔崩解片⑽了),該 崩解片包括一治療有效量的一個顆粒的集合,其中每個顆 粒包括-種微顆粒’該微顆粒包括托吼醋、一種氨基石黃酸 鹽取代的單糖或其-藥學上可接受的鹽或衍生物(其中所 述微顆粒係用—掩味層包被的)、快速分散的微粒劑(該微 粒劑包括至少-種崩解劑)以及至少—種糖醇和/或至少二 153421.doc 201127375 種糖類;並且其中所述掩味層包括一不溶于水的聚合物。 在又另一實施方式中’本發明涉及製造該掩味的以及ODT 組合物的多種方法。在另一實施方式中,本發明涉及使用 本發明的組合物用於治療患癲癇病症的患者、治療一患者 以便誘導或維持體重減輕、或治療患偏頭痛的患者的方 法。以下將詳細地說明該等以及其他的實施方式。 本發明的詳細說明 以下說明包括了在理解本發明中可能有用的資訊。 定義 士以上使用的,並且貫穿本發明的說明書,以下術語, 除非另外指明,應該被理解為具有以下含義: 如在此使用的,術語「藥物」、「活性」、「活性成分」或 「活性藥物成分」包括任何藥學上可接受的並且治療有效 的化合物、藥學上可接受的鹽、立體異構體以及立體異構 體的混合物、溶劑化物(包括水合物)、和/或其衍生物。根 據本發明一適合的藥物係托吡酯。 又 如在此使用的’術語「衍生物」、「多種衍生物」或「其 多種衍生物」包括與托吼醋相關的多種化合物。例如,在 某些實施方式巾,托吡_和,或一種氨基磺酸鹽取代的π 糖的衍生物可以包括以下化學式〗的化合物: 早. X、R1 R、1S 153421.doc 201127375 A water-insoluble polymer. The disclosure also relates to an immediate release (ir) orally disintegrating tablet (coffee)! The orally disintegrating tablet comprises a therapeutically effective amount of a collection of particles, wherein each particle comprises (1) microparticles coated with one or more taste masking layers, the microparticles comprising a torbic ratio or an amino stone a salt of a xanthate-substituted monosaccharide or a pharmaceutically acceptable salt thereof, and (1) a rapidly divided microparticulate agent comprising at least one disintegrant and at least one sugar alcohol and/or at least A saccharide; wherein the taste layer/taste mask layer comprises - a water-insoluble polymer. The present disclosure also relates to methods of making the taste masking and sputum compositions, and the use of the compositions of the present invention for treating a patient suffering from an epileptogenic disorder, complication or migraine, and/or for achieving / Maintaining weight loss, and/or treating or treating alcoholism and/or drug formation methods. In an embodiment, the invention is directed to a taste masked pharmaceutical composition comprising a therapeutically effective amount of a taste-masked amino acid salt-substituted monosaccharide particle comprising an amino acid salt substituted a monosaccharide or a pharmaceutically acceptable salt or derivative thereof, wherein the particles are coated with one or more taste masking layers to mask the taste of the monosaccharide substituted by the amino acid hydrochloride. The scent layer includes at least one type of water-insoluble polymer. In another embodiment, the invention is directed to a __ orally disintegrating tablet (10), the disintegrating tablet comprising a therapeutically effective amount of a collection of particles, wherein each particle comprises a microparticle "the microparticle" Included in a sputum vinegar, an amino sulphate substituted monosaccharide or a pharmaceutically acceptable salt or derivative thereof (wherein the microparticles are coated with a taste masking layer), a rapidly dispersing microgranule ( The microgranule comprises at least one disintegrant and at least two sugar alcohols and/or at least two 153421.doc 201127375 sugars; and wherein the taste masking layer comprises a water insoluble polymer. In yet another embodiment, the invention relates to various methods of making the taste masking and ODT compositions. In another embodiment, the invention relates to a method of using a composition of the invention for treating a patient suffering from an epileptic disorder, treating a patient to induce or maintain weight loss, or treating a patient suffering from migraine. These and other embodiments will be described in detail below. DETAILED DESCRIPTION OF THE INVENTION The following description includes information that may be useful in understanding the present invention. As used above, and throughout the specification of the present invention, the following terms, unless otherwise indicated, shall be understood to have the following meanings: As used herein, the terms "drug", "active", "active ingredient" or "active" The pharmaceutical ingredient includes any pharmaceutically acceptable and therapeutically effective compound, pharmaceutically acceptable salt, stereoisomer, and mixture of stereoisomers, solvates (including hydrates), and/or derivatives thereof. A suitable pharmaceutical system is topiramate according to the invention. Further, the terms "derivative", "various derivatives" or "various derivatives thereof" as used herein include various compounds related to vinegar. For example, in certain embodiments, a toribidine- and/or a sulfamate-substituted π-saccharide derivative may include a compound of the formula: Early. X, R1 R, 1

153421.doc 201127375 其中R,的每個實例獨立地選自下組,其組成為:Η、羥 基、氰基、亞石肖基(nitdto)、F、Cl、Br、I、三氟甲續酸 鹽、曱%酸鹽、曱苯磺酸鹽、(Ci_C6)烷基、羥基(C〗_C6)烷 基、(G-C6)鏈烷醯基、芳基(Ci_C6)烷基。在某些實施方式 中,或甲基》 術語「鹽」係指藉由一適合的無機酸或有機酸與該藥物 的「游離域」形式進行反應所形成的產物。適合的酸包括 具有足夠的酸性以形成一穩定的鹽的那些酸,例如具有低 毋性的酸,如被批准用於人類或動物體内的鹽類。可以用 來形成托吡酯的鹽的多種酸的非限制性實例包括無機酸例 如HF、HCn、HBr、HI、邮〇4、时〇4 ;有機酸的非限制 性實例包括有機磺酸如C^6芳基磺酸、C6_10雜芳基磺酸或 Cl·!6烷基磺酸-例如苯基、α_萘基、β_萘基、(s)_樟腦、曱 基、乙基、正丙基、異丙基、正丁基、二級丁基、異丁 基、二級丁基、戊基以及己基續酸;有機酸的非限制性實 例包括羧酸如C丨·丨6烷基、c0_丨6芳基羧酸以及(:4_16雜芳基幾 酸,例如乙酸、乙醇酸、乳酸、丙酮酸、丙二酸、戊二 酸、酒石酸、檸檬酸、富馬酸、琥珀酸、蘋果酸、馬來 酸、羥基馬來酸、苯曱酸、羥基苯甲酸、苯乙酸、肉桂 酸、水楊酸以及2 -苯氧基苯甲酸;有機酸的非限制性實例 包括氨基酸,例如天然發生的氨基酸、賴氨酸、精氨酸、 谷氨酸、甘氨酸、絲氨酸、蘇氨酸、丙氨酸、異亮氨酸、 亮氨酸等。其他適合的鹽可以發現於例如s. M. Birge et al.、J. Pharm. Sci.,1977,66,第 1 -19 頁中。(出於所有目 153421.doc -10- 201127375 的耩由引用結合在此)。在大多數實施方式中,「鹽」係指 生物相容的或藥學上可接受的或特別是對於哺乳動物細胞 無毒的鹽。本發明中有用的藥物的鹽可以是結晶的或無定 形的或不同結晶形式的混合物和/或結晶形式與無定形形 式的混合物。 術語「藥物前體」表示化學式〗和/或13[的化合物的一形 式,該化學式1和/或11適合施用于患者,沒有過度的毒 !·生刺激性、過敏反應,等,並且對於它們的預期的用途 係有效的,包括縮酮、酯以及兩性離子的形式。例如藉由 在血液令水解,一藥物前體在體内被轉化從而產生一化學 式1和7或化學式11的化合物,。一徹底的討論提供於T.153421.doc 201127375 wherein each instance of R, is independently selected from the group consisting of hydrazine, hydroxy, cyano, nitdto, F, Cl, Br, I, trifluoromethyl,曱% acid salt, benzene sulfonate, (Ci_C6) alkyl group, hydroxy (C _C6) alkyl group, (G-C6) alkane fluorenyl group, aryl (Ci_C6) alkyl group. In certain embodiments, the term "salt" or "methyl" refers to a product formed by the reaction of a suitable inorganic or organic acid with the "free domain" form of the drug. Suitable acids include those which have sufficient acidity to form a stable salt, such as an acid having low inertness, such as salts approved for use in humans or animals. Non-limiting examples of various acids that can be used to form the salt of topiramate include inorganic acids such as HF, HCn, HBr, HI, Mail 4, Time 4; non-limiting examples of organic acids include organic sulfonic acids such as C^6 Arylsulfonic acid, C6_10 heteroarylsulfonic acid or Cl·! 6 alkylsulfonic acid - such as phenyl, α-naphthyl, β-naphthyl, (s)-camphor, fluorenyl, ethyl, n-propyl , isopropyl, n-butyl, secondary butyl, isobutyl, secondary butyl, pentyl and hexyl carboxylic acid; non-limiting examples of organic acids include carboxylic acids such as C 丨 丨 6 alkyl, c0 _丨6 aryl carboxylic acid and (: 4-16 heteroaryl acid, such as acetic acid, glycolic acid, lactic acid, pyruvic acid, malonic acid, glutaric acid, tartaric acid, citric acid, fumaric acid, succinic acid, malic acid , maleic acid, hydroxymaleic acid, benzoic acid, hydroxybenzoic acid, phenylacetic acid, cinnamic acid, salicylic acid, and 2-phenoxybenzoic acid; non-limiting examples of organic acids include amino acids, such as naturally occurring Amino acid, lysine, arginine, glutamic acid, glycine, serine, threonine, alanine, isoleucine, leucine, etc. His suitable salt can be found, for example, in s. M. Birge et al., J. Pharm. Sci., 1977, 66, pp. 1-19. (For all purposes 153421.doc -10- 201127375 In the present invention, "salt" refers to a salt that is biocompatible or pharmaceutically acceptable or particularly non-toxic to mammalian cells. The salt of the drug useful in the present invention may be crystalline. a mixture of amorphous or different crystalline forms and/or a mixture of crystalline forms and amorphous forms. The term "prodrug" means a form of a compound of the formula and/or 13 [, which is of the formula 1 and/or 11 Suitable for administration to patients without excessive toxicity! • irritating, allergic reactions, etc., and effective for their intended use, including ketals, esters, and zwitterions. For example, by hydrolysis in the blood, A prodrug is converted in vivo to produce a compound of formula 1 and 7 or formula 11. A thorough discussion is provided in T.

Higuchi和 V. Stella,Pro-drugs as Novel Delivery Systems, V〇l. H of the A. C· S. Symposium Series以及在£3^^(16·Higuchi and V. Stella, Pro-drugs as Novel Delivery Systems, V〇l. H of the A. C. S. Symposium Series and at £3^^(16·

Roche, ed., Bioreversible Carriers in Drug Design, •can Pharmaceutical Association and Pergamon Press, 1987中,將兩者藉由引用結合在此。 術語「口腔崩解片」、「口腔分散片」、或「ODT」係指 本發明的一固體劑型,該劑型在給藥後無需咀嚼在患者的 口腔中快速崩解。當如在此描述進行測試時(例如,USP 701 >/則》式法)’崩解的速率可以改變,但是比旨在給藥後 有待立即吞咽的常規固體劑型(例如,片劑、膠囊,等)的 朋解速率更快或比可咀嚼的固體劑型的崩解速率更快。本 發明的ODT組合物可以包含藥學上可接受的成分,該等成 刀膨脹、溶解或另外地有助於該ODT組合物的崩解或溶 153421.doc 201127375 解。 術語「單位劑量」係指一藥物組合物,該藥物組合物包 含旨在以一個單一劑量施用于患者的一個量的藥物。 在此使用的術語「約」係指一數量,包括所指明的數量 以及接近該數量的值。例如,「約60秒」包括準確地6〇秒 以及接近6 0秒的值(例如,5 0秒、5 5秒、5 9秒、61秒、6 5 秒、70秒,等)。在某些情況下,術語「約[一數值]」可以 被理解為表示在該數值的一定的百分比之内。因此,「約 1 00」可以包括在一個值i00的附近高達i 5%的—範圍(例 如,從85至11 5,端點包括在内),類似地,該術語約可以 包括在一個數值附近高達丨4%、1 3%、12%、11 %、1 〇〇/。、 9%、8%、7°/〇、6%、5%、4。/〇、3。/〇、2%、1% 或小於 1% 的 一範圍。 關於本發明的〇DT片劑組合物’術語「基本上崩解」表 不該ODT片劑大部分崩解成以前被壓成片劑的它的組成顆 粒或微顆粒°基本上崩解表示至少約50%、至少約60%、 至 >、、力70/。、至少約、至少約、或約的〇dt 片劑已經崩解成它的組成顆粒。類似地,關於本發明的 ODT片』|且合物’術語「基本上溶解」表示從該〇〇丁片劑 所釋放或☆解的活性藥物成分的百分比係存在於該組 。物中的托。比S旨的至少約50%、至少約60%、至少約 70%、至少约8λ〇/ 、U/。、至少約90%、或約1〇〇%。雖然描述該 等產物組分夕_ J> • —的特徵或特性時,使用了術語如「含有托 。比酯的顆粒或「〜 ^ 仅含有托吡酯的顆粒釋放的百分比」; 153421.doc •12· 201127375 而,該等術語同樣地可應用於包括氨基料鹽 糖的組的其他組分。術語「顆粒」、「微顆粒」、 早 及「微粒劑」在此可以互換地使用 ’」以 的糂屮β丄 ?日不考慮該顆粒 一成、有平均粒度不超過400 μηι的一種顆粒;並 -些實施方式中不超過300 _。術語「 =有「平均粒度不超過的含有藥物的if ::。—掩味」係指掩蓋一藥物的一種不希望的味道(例 含有的一過程。這係藉由用一足夠厚的阻擔層包被 各有樂物的顆粒來實現的。除非另外指明,所有的百分比 和比率都是按重量來計算的。除非另外指明,所有百分比 ^比率都是基於全部組合物來計算的。在此的該等微顆粒 ^ 為初級顆粒或一次顆粒進行描述。初級顆粒係不團 聚的而二次顆粒係團聚的初級顆粒。因此,總體上,初級 顆粒小於二次顆粒。 發月的一實施方式係針對一口腔崩解片(〇dt)組合 2該組合物包括一治療有效量的一個顆粒的集合(其中 每個顆粒包括用—掩味層包被的托自旨)以及快速分散的 微粒劑。 本I月的另一貫施方式係針對一顆粒的集合其中每個 顆粒係—藥物成層的珠粒,該珠粒包括用一含有托吡I旨的 層包被的惰性芯。 在某些貫施方式中,該掩味層包括一不溶于水的掩味的 聚0物或—不溶于水的掩味的聚合物與一水溶性或胃溶性 聚合物進行組合。 153421.doc -13· 201127375 合物的方Γ另—實施方式係針對—製備本發明的咖組 掩味μ 2該方法包括製備包括托㈣的微顆粒;用一 種㈣二“托㈣的微顆粒;製備包括-崩解劑與- 成Α右山種糖類相組合的粒料(稱為快速分散的粒料 ===解劑的粒料);將該用—掩味層包被的含有托吼 粒與含有崩解劑的粒料以及任選地其他藥學上可 接又的成刀進打混合;並且將該混合物壓成⑽L组合物。 在又另-實施方式中’本發明係針對一治療患有癲癇症 (早-療法或輔助療法)、偏頭痛的患者、和/或治療一患者 以便誘導或維持體重減輕的方法,該方法包括施用本發明 的ODT組合物。 含有托吡酯的顆粒可以包括結晶的托吡酯、與一或多種 藥學上可接受的賦形劑(例如填充劑、粘合劑,等)成粒的 托吡酯、具有一含有托吡酯的球粒的惰性芯成層的珠粒 (例如藉由在流化床包衣機中包被進行製備)或具有多個含 有托《比醋的球粒的惰性芯成層的珠粒(例如在vect〇r,s Granurex中藉由控制的滾圓法或粉末成層法進行製備)^例 如’結晶的托。比酷可以是一具有平均粒度範圍從約1 ^爪至 300 μηι的初級顆粒,包括約丨_5〇 μπι、約丨-丨⑽μπι、約 1-150 μιη、約 1-200 μηι、約 1-250 μιη、約 50-100 μιη、約 50-150 μηι、約 50-200 μηι、約 50-250 μηι、約 50-300 μιη、 約 100-150 μιη、約 100.200 μπχ、約 150-200 μιη、約 150-250 μιη、約 150-300 μπι、約 200-250 μηι、約 200-300 μπι、或約 250-300 μηι 〇 153421.doc •14- 201127375 當含有…的顆粒係粒料或藥物 G_rex球粒時’該含有托。比醋的顆粒包括至少一種J 膜的粘合劑。該形士描 禋心成 成聪的粘合劑可以包括用於形成該含有 托。比酯的顆粒的杯^ ^ 的任何適合的粘合劑。適合的形成膜的枯入 劑的非限制性實例可以包括水溶性的、醇溶性的或可溶于 丙酮/水的粘合劑,例如聚乙烯吡咯酮(pvp)、玉米澱粉、 聚氧化乙稀、#乙:醇、M丙基甲基纖維素⑽批)、甲 基纖維素、❹丙基纖維素(Hpc)。在該含有托心旨的顆 粒中形成膜的粘合劑的量輯圍可以從約〇 5%至約贈。,包 括約 〇.5/0-1/〇、約 〇 5%_2%、約 〇 5% 5%、約 〇 5%·7%、約 1%-2%、約 1%_5%、約 1% 7%、約 1%1〇%、約 、約 2%-7%、約 2%-1〇%、、約 5%_7%、約 5%_1〇%、及約 10%。 在此描述的該等含有托吡酯的顆粒還可以包括其他藥學 上可接受的成分,例如填充劑、稀釋劑或其他賦形劑。用 於該含有藥物的粒料的其他藥學上可接受的成分的非限制 性實例包括例如甘露醇、乳糖、微晶纖維素、硫酸鉀、碟 酸鈣、改性澱粉及其混合物。在該含有托吡酯的顆粒中其 他藥學上可接受的成分(例如填充劑、稀釋劑或其他賦形 劑)的量範圍可以從約5°/。-80%,包括約5%-70%、約50/〇_ 60%、約 5%-50%、約 5%-40%、約 5%-30%、約 5%-20。/〇、 約 5%-15%、約 5%-10%、約 1〇%-70%、約 100/〇-60%、約 10%-50%、約 10〇/〇-40%、約 1〇%-3〇%、約 1〇%-20%、約 10%-15%、約 20%-70%、約 20%-60%、約 20%-5 0%、約 153421.doc -15- 201127375 20%-40°/〇、約 20%-30%、約 20%_25%、約 30%-70%、約 30%-60%、約 30%-50%、約 30%-40%、約 30%-35%、約 40%-70% ' 約 40%-60%、約 40%-50%、約 40%-45。/〇、約 50%-70%、約 50%-60%、約 50%-55%、約 60%-70%、或約 60%-65〇/〇。 在另一實施方式中,在此描述的該含有藥物的芯可以處 於托。比δ日成層的珠粒或包括一芯的粉末成層的Granurex球 粒的形式’例如用包括托吡酯和一聚合物粘合劑的含有托 。比S旨的層進行包被的一藥學上可接受的糖球或纖維素球 (例如’來自Asahi Kasei的Celphere®或來自Glatt的Roche, ed., Bioreversible Carriers in Drug Design, • Can Pharmaceutical Association and Pergamon Press, 1987, both of which are incorporated herein by reference. The term "orally disintegrating tablet", "oral dispersible tablet", or "ODT" refers to a solid dosage form of the present invention which does not require chewing to rapidly disintegrate in the oral cavity of a patient after administration. When tested as described herein (eg, USP 701 >/), the rate of disintegration can vary, but is a conventional solid dosage form (eg, tablets, capsules) that is intended to be swallowed immediately after administration. , etc.) has a faster rate of disintegration or a faster disintegration rate than a chewable solid dosage form. The ODT compositions of the present invention may comprise pharmaceutically acceptable ingredients which swell, dissolve or otherwise contribute to the disintegration or dissolution of the ODT composition 153421.doc 201127375. The term "unit dose" refers to a pharmaceutical composition comprising an amount of a drug intended to be administered to a patient in a single dose. The term "about" as used herein refers to a quantity, including the quantity indicated and the value close to the quantity. For example, "about 60 seconds" includes values that are exactly 6 seconds and close to 60 seconds (eg, 50 seconds, 55 seconds, 5 9 seconds, 61 seconds, 65 seconds, 70 seconds, etc.). In some cases, the term "about [a value]" can be understood to mean within a certain percentage of the value. Thus, "about 100" can include a range of up to i 5% in the vicinity of a value i00 (eg, from 85 to 11 5, endpoints are included), and similarly, the term can be included in the vicinity of a value. Up to 4%, 13.3%, 12%, 11%, 1 〇〇/. , 9%, 8%, 7°/〇, 6%, 5%, 4. /〇, 3. A range of /〇, 2%, 1%, or less than 1%. Regarding the 〇DT tablet composition of the present invention, the term "substantially disintegrating" indicates that the ODT tablet largely disintegrates into its constituent particles or microparticles which have been previously compressed into tablets. About 50%, at least about 60%, to >, and force 70/. At least about, at least about, or about 〇dt tablets have disintegrated into their constituent granules. Similarly, the term "substantially soluble" with respect to the ODT sheet of the present invention means that the percentage of the active pharmaceutical ingredient released or ** from the tablet is present in the group. In the matter. At least about 50%, at least about 60%, at least about 70%, at least about 8λ〇/, U/. At least about 90%, or about 1%. Although the characteristics or characteristics of these product components are described, terms such as "containing a carrier or a percentage of "~ ^ only topiramate-free particles released" are used; 153421.doc •12 · 201127375 However, the terms are equally applicable to other components of the group comprising the amino sugar salt. The terms "particles", "microparticles", early and "microgranules" are used interchangeably herein to mean 糂屮β丄? One particle of the granules having a mean particle size of not more than 400 μηι is not considered; and in some embodiments, it does not exceed 300 _. The term "= there is a drug-containing if:---masking taste that does not exceed the average particle size" means an undesired taste that masks a drug (a process that is included) by using a sufficiently thick barrier The layer is achieved by the particles of each piece of music. Unless otherwise indicated, all percentages and ratios are calculated by weight. Unless otherwise indicated, all percentages are calculated based on the total composition. The microparticles are described as primary particles or primary particles. The primary particles are primary particles that are not agglomerated and the secondary particles are agglomerated. Thus, in general, the primary particles are smaller than the secondary particles. For an orally disintegrating tablet (〇dt) combination 2, the composition comprises a therapeutically effective amount of a collection of particles (where each particle comprises a coating with a taste masking layer) and a rapidly dispersing microgranule. Another mode of application of this month is directed to a collection of particles, each of which is a drug-layered bead comprising an inert core coated with a layer containing torazole. In the embodiment, the taste masking layer comprises a water-insoluble taste-masking poly- or a water-insoluble taste-masking polymer combined with a water-soluble or stomach-soluble polymer. 153421.doc -13· The method of the 201127375 compound is directed to the preparation of the coffee cake masking μ 2 of the present invention. The method comprises preparing microparticles comprising the carrier (IV); using a microparticle of (tetra) and two "tetra"; the preparation comprises - disintegration a granule combined with a saccharide of the right glutinous rice cultivar (referred to as a rapidly dispersing granule === a granule of a decomposing agent); the smear containing the smear layer and containing disintegration The pellets of the agent, and optionally other pharmaceutically acceptable knives, are mixed; and the mixture is compressed into (10) L of the composition. In yet another embodiment, the invention is directed to a treatment for epilepsy ( A method of early-therapy or adjuvant therapy, a patient suffering from migraine, and/or treating a patient to induce or maintain weight loss, the method comprising administering an ODT composition of the invention. The topiramate-containing particles may comprise crystalline topiramate, and One or more pharmaceutically acceptable forms (eg, fillers, binders, etc.) granulated topiramate, inert core layered beads having a topiramate-containing pellet (for example, prepared by coating in a fluid bed coater) or Beads containing a layer of inert core than vinegar pellets (for example, prepared by vect〇r, s Granurex by controlled spheronization or powder layering) ^ for example, 'crystallized trays. a primary particle having an average particle size ranging from about 1 cm to 300 μm, including about 丨5 〇μπι, about 丨-丨 (10) μπι, about 1-150 μηη, about 1-200 μηι, about 1-250 μηη, about 50-100 μηη, about 50-150 μηι, about 50-200 μηι, about 50-250 μηι, about 50-300 μηη, about 100-150 μηη, about 100.200 μπχ, about 150-200 μηη, about 150-250 μη , about 150-300 μπι, about 200-250 μηι, about 200-300 μπι, or about 250-300 μηι 〇153421.doc •14- 201127375 When containing pellet pellets or drug G_rex pellets Trust. The particles of the vinegar include at least one binder of the J film. The binder may be included to form the contained carrier. Any suitable binder for the cups of the particles of the ester. Non-limiting examples of suitable film forming primers may include water soluble, alcohol soluble or acetone/water soluble binders such as polyvinylpyrrolidone (pvp), corn starch, polyethylene oxide , #乙: alcohol, M propyl methylcellulose (10) batch, methyl cellulose, propyl propyl cellulose (Hpc). The amount of the binder forming the film in the particles containing the core can be from about 5% to about 5%. , including approximately 5.5/0-1/〇, approximately 5%_2%, approximately 5% 5%, approximately 5%·7%, approximately 1%-2%, approximately 1%_5%, approximately 1 % 7%, about 1% 〇%, about, about 2%-7%, about 2%-1%%, about 5%-7%, about 5%_1%%, and about 10%. The topiramate-containing particles described herein may also include other pharmaceutically acceptable ingredients such as fillers, diluents or other excipients. Non-limiting examples of other pharmaceutically acceptable ingredients for the drug-containing pellets include, for example, mannitol, lactose, microcrystalline cellulose, potassium sulfate, calcium silicate, modified starch, and mixtures thereof. The amount of other pharmaceutically acceptable ingredients (e.g., fillers, diluents, or other excipients) in the topiramate-containing granules can range from about 5°/. -80%, including about 5%-70%, about 50/〇_60%, about 5%-50%, about 5%-40%, about 5%-30%, about 5%-20. /〇, about 5%-15%, about 5%-10%, about 1%-70%, about 100/〇-60%, about 10%-50%, about 10〇/〇-40%, about 1〇%-3〇%, about 1〇%-20%, about 10%-15%, about 20%-70%, about 20%-60%, about 20%-5 0%, about 153421.doc - 15- 201127375 20%-40°/〇, about 20%-30%, about 20%_25%, about 30%-70%, about 30%-60%, about 30%-50%, about 30%-40 %, about 30% - 35%, about 40% - 70% 'about 40% - 60%, about 40% - 50%, about 40% - 45. /〇, about 50%-70%, about 50%-60%, about 50%-55%, about 60%-70%, or about 60%-65〇/〇. In another embodiment, the drug-containing core described herein can be in a tray. The form of Granurex pellets layered into lamellae beads or layers comprising a core powder', e.g., with a toluene comprising a topiramate and a polymeric binder. A pharmaceutically acceptable sugar sphere or cellulose sphere coated with a layer other than the S (eg, 'Celphere® from Asahi Kasei or from Glatt

Cellets) °適合的聚合物粘合劑包括在此揭露的那些中任 何一種’例如殿粉、改性纖維素(例如經丙基纖維素、經 丙基甲基纖維素(羥丙曱纖維素)、羧甲基纖維素鈉)、海藻 酸、聚乙烯。比咯烷酮(聚維酮)及其混合物。可以將該托吡 酯層中托吡酯的量,以及該托吡酯層的厚度進行修改以提 供一治療有效劑量的托吡酯。在一實施方式中,該含有托 吡酯的層包括約9〇%_99%的托吡酯以及約1%至約1〇%的聚 合物枯合劑。 在此描述的ODT組合物的含有托吡酯的顆粒(例如結晶 的才成粒的托。比酯、或托°比S旨成層的珠粒/球粒)係 用一掩味層包被的。該掩味層可以包括一不溶于水的聚合 物任^地與—水溶性或胃溶性或腸溶性的成孔劑進行組 一 /等成孔劑可以增加托吡酯穿過該掩味層的釋放率。 '、成孔劑典型地易於溶解在水或唾液中,而胃溶性成 15342l.doc -16- 201127375 孔劑通常在水和唾液中是不溶的,但是在酸性條件(例如 在人類受試者的胃中存在的那些條件,典型地小於約pH 5)下疋易於溶解的。相比之下,腸溶性成孔聚合物僅僅溶 解在胃腸道的腸道區域t (例如,在人類受試者的腸道中 所發現的pH條件下,典型地高於約4.5的pH)。 適合的不溶于水的聚合物的非限制性實例可以包括,例 如乙基纖維素、聚乙酸乙烯酯(PVA)、醋酸纖維素(ca)、 醋酸丁酸纖維素(CAB)、以及在商業名稱rEUDRAGIT」 下可獲得的甲基丙烯酸酯共聚物(如Eudragh RL、別心叫“ RS、Eudraglt NE30D、等)。水溶性成孔聚合物的非限制 性實例可以包括,例如聚乙二醇、聚維酮、經丙基纖維 素、曱基纖維素、羥丙曱纖維素、及其混合物。胃溶性成 孔劑的非限制性實例可以包括,例如碳酸鈣、擰檬酸鎂、 氫氧化鎂、及其混合物。胃溶性成孔聚合物的非限制性實 例可以包括,例如Eudragit® E1〇〇/Ep〇(氨基烷基甲基丙烯 酸酯以及中性甲基丙烯酸酯)、AEA®(聚乙烯乙縮醛二乙氨 基乙酯,可以從Sankyo有限公司(東京)獲得)、及其混合 物。腸溶性成孔聚合物的非限制性實例可以包括,例如乙 酸鄰苯二甲酸纖維素、羥丙曱纖維素鄰苯二曱酸酯、 Eudragit® L1〇〇4S100、及其混合物。當_成孔劑存在於 該掩味層中時,不溶于水的聚合物與水溶性、胃溶性或腸 溶性成孔劑的比率可以從約95/5重量至約5〇/5〇重量、或其 中任何其他比率進行變化。該掩味包衣的量範圍可以從^ 5%至約3G%的該掩味的含有托吼㈣顆粒的總重量,或約 153421.doc 201127375 約 10%-約 15%-約 20〇/〇- 5%-25%、約 5%-20%,約 5%-15。/〇、約 5%_1〇% 30%、約 10%-25%、約 l〇%-2〇%、約 1〇%15% 30%、約 5〇%-25%、約 15%_20%、約 2〇% 3〇% 25%、或約25%-3G%、或在該等所列舉的範圍内的任何其 他值或值的範圍。 ' 在此描述的ODT組合物包括快速分散的粒料,該等快速 分散的粒料包括一崩解劑和一種糖醇和/或一種糖類。快 速分散的微粒劑典型地包括-種糖醇(如甘露醇)和/或一種 糖類(如乳糖)以& 一超級崩解劑(如交聚維酮)。豸糖醇和/ 或糖類以及崩解劑通常以比率從約99:1至約9〇:1〇(糖醇和/ 或糖類:崩解劑)存在於該快速分散的微粒劑中。. 該崩解劑可以包括一「超級崩解劑」。所謂的超級崩解 劑的非限制性實例可以包括交聚維鋼(交聯的pvp)、澱粉 乙醇酸鈉、交聯㈣甲基纖維素納、低取代㈣基纖維 素、及其混合物。在該等快速分散的粒料令崩解劑的量範 圍可以從約1%至、或約5%至跳該等快速分散的粒料 的總重量,例如約1%、約2%、約3%、約4%、約5%、約 6%、約7%'約8%、約9%、或約1〇%,包括其間所有的範 圍、子範圍和值。 糖醇典型地是碳水化合物的氣化形式,在該碳水化合物 中一羰基(例如,一個醛或酮)已經被還原成—個一級羥基 或二級羥基。用於包含于本發明的〇DT組合物的快速分散 的粒料中的適合的糖醇的非限制性實例可以包括例如,阿 糖醇、ISGMALT®(-由二種糖即葡萄糖和甘露醇組成的二 15342 丨.doc -18- 201127375 糖)、赤蘚糖醇、甘油、乳糖醇、甘露醇、山梨 糖醇、麥芽糖醇、及其混合物。 術語「糖類」總體上與術語「糖」係同義的,並且包括 單糖(如葡萄糖、果糖、乳糖、以及核糖);以及二糖(如, 庶糖、乳糖、麥芽糖、海藻糖、以及纖維二糖用於本 發明的組合物上的適合的糖類的非限制性實例包括例如乳 糖、蔗糖、麥芽糖、及其混合物。 号 在又另一實施方式中,該等快速分散的粒料可以包括至 少一種崩解劑與一種糖醇相組合。在另一實施方式中,嗜 等快速分散的粒料可以包括至少一種崩解劑 組合。在又另-實施方式,,該等含有崩解劑的=: 包括至少一種崩解劑與一種糖醇和一種糖類相組合。 在該等快速分散的粒料中糖醇和/或糖類的量範圍可以 從約99%至9G%、或約95%至9()%的該等快速分散的粒料的 總重量,例如約90%、約91%、約92%、約93%、約9作〇、 約95%、約96%、約97。/。、約98%、或約99。/。,包括其間所 有的範圍、子範圍和值。在某些實施方式中,糖醇和/或 糖類的初級顆粒的平均粒度係3〇 μηι或更小,例如約^至川 μιη、約5至30 _、約5至25 μιη、約5至2〇 _、約弓至^ μιη、約5至1〇 _、約1()至3G㈣、約1〇至25㈣約^至 20㈣、約10至15 μΓΏ、約15至3〇㈣、約。至乃_、約 15 至 20 μηι、約 20 至 30 μιη、約 20 至 25 μηι、或約 25至3〇 μιη ’或其中任何其他值或值的範圍。 在用掩味層進行包被之前,該等托吡酯顆粒(例如結晶 I53421.doc -19· 201127375 的或無疋形的托D比酯、成粒的托π比酯、或托吡酯成層的珠 粒)通常具有平均粒度約1-100 μπι,在一些實施方式中約b 50 μιη或約1-30 μπι,或如在此另外揭露的平均粒度。在用 掩味層進行包被之後,該掩味的含有托。比酯的顆粒通常 具有平均粒度不低於約5〇〇 μιη。如果該平均粒度顯著地高 於約500 μηι,一包括這樣的顆粒的崩解的〇dt可能在患者 的口腔中具有一種令人不愉快的「砂礫樣」質感,並且可 能需要採取其他措施來增加適口性。當該平均粒度小於約 00 μιη時朋解的ODT通常在患者的口腔中具有一種更適 口的「奶油樣」的質感。 與忒等掩味的含有托„比酯的顆粒相比,快速分散的粒料 的量或崩解劑-糖醇/糖類組合的量可以根據所希望的崩解 速率和所希望的感官特性(包括掩味、口感和後味)進行改 艾。本發明的組合物中崩解劑_糖醇/糖類組合的量範圍可 以從約40%至約95% ’包括約4〇%、約桃、約5〇%、約 55/〇、約 60%、約 65%、約 7〇%、約 75%、約 8〇%、約 跳、約90%、以及約95%,包括其間所有的值、範圍和 子範圍在一實施方式中,崩解劑-糖醇/糖類組合的量係 約60%至70%的該缒合物的總重量。在另一實施方式中, 崩解劑-糖醇/糖類組合的量係約65%重量。 在此描述的ODT組合物含有一足夠量的掩味的含有藥物 的顆粒以便提供一治療有效劑量的托吡醋。 在此描述的ODT組合物中藥物組分的量範圍可以從約 至約25% ’包括約5%、約1〇%、約15%、約2〇%、以及約 153421.doc 20- 201127375 25% ’包括其間所有的值、範圍和子範圍。 除了可接受的崩解和感官特性 . ^ 商業上可接受的 ODT配製品典型地要求適合 按-的 对裝入瓶中或封裝入樁 式薄膜基和/或剝離紙基的泡罩 /擠過 匕展中用於儲存、運輸和 商業配送的硬度和脆性。因此, 除了该寻掩味的含有托吡 酯的顆粒、崩解劑、以及糖 及糖颁之外,在此描述 的ODT組合物還可以包括其他筚 、他樂予上可接受的成分或賦形 劑,該等成分或賦形劑可以有助 π初於形成具有可接受的硬度 和脆性特徵的片劑、促逸n丰山初< 從進决逮朋解和/或改進該等ODT配 製品的感官特性。 對於用於在此描述的組合物或劑型中的適合的賦形劑的 實例可以包括填充劑、稀釋劑、助流劑、崩解劑、枯合 ㈣潤’月劑等。其他藥學上可接受的賦形劑可以包括酸化 劑、鹼化劑、防腐齊j、抗氧化劑、緩衝劑、螯合劑、著色 劑、絡合劑、乳化劑和’或增溶劑、調味劑和香料、保濕 劑、甜味劑、濕潤劑等。 適合的填充劑、稀釋劑和/或粘合劑的實例可以包括乳 糖(例如喷霧乾燥的乳糖、α_乳糖、卩_乳糖、TaMet〇se®、 不同級別的 Pharmatose®、Microtose® 或 Fast-Floe®)、微晶 纖維素(例如 Avicel PH101、Avicel PH102、Ceolus KG-802、Ceolus KG-1000、pros〇iv SMCC 50或 SMCC90、 不同級別的 Elcema®、Vivacel®、Ming Tai® 或 Solka-Fl〇c®)、經丙基纖維素、L_羥丙基纖維素(低取代的)、羥 丙基甲基纖維素(HPMC)(例如Methocel E、F和K、Shin- 153421.doc -21 · 201127375Cellets) Suitable polymeric binders include any of those disclosed herein, such as powdered, modified cellulose (eg, propylcellulose, propylmethylcellulose (hydroxypropylcellulose)) , sodium carboxymethyl cellulose), alginic acid, polyethylene. Pyrrolidone (povidone) and mixtures thereof. The amount of topiramate in the topiramate layer, as well as the thickness of the topiramate layer, can be modified to provide a therapeutically effective amount of topiramate. In one embodiment, the topiramate-containing layer comprises from about 9% to 99% topiramate and from about 1% to about 1% polymer dry. The topiramate-containing particles of the ODT composition described herein (e.g., crystalline granulated trays, or esters, or slabs of beads/pellets) are coated with a taste masking layer. The taste masking layer may comprise a water-insoluble polymer and a water-soluble or gastric-soluble or enteric porogen for the grouping of one or more pore formers to increase the release rate of topiramate through the taste masking layer. . ', porogens are typically readily soluble in water or saliva, while the stomach is soluble into 15342l.doc -16 - 201127375. Oral agents are usually insoluble in water and saliva, but in acidic conditions (eg in human subjects) Those conditions present in the stomach, typically less than about pH 5), are readily soluble. In contrast, enteric porogen-forming polymers only dissolve in the intestinal region t of the gastrointestinal tract (e.g., at pH conditions found in the gut of a human subject, typically above a pH of about 4.5). Non-limiting examples of suitable water-insoluble polymers can include, for example, ethyl cellulose, polyvinyl acetate (PVA), cellulose acetate (ca), cellulose acetate butyrate (CAB), and under the trade name A methacrylate copolymer available under rEUDRAGIT" (eg Eudragh RL, nicknamed "RS, Eudraglt NE30D, etc.". Non-limiting examples of water soluble pore-forming polymers may include, for example, polyethylene glycol, poly Vetosterone, propylcellulose, decylcellulose, hydroxypropylcellulose, and mixtures thereof. Non-limiting examples of gastric soluble porogens can include, for example, calcium carbonate, magnesium citrate, magnesium hydroxide, And mixtures thereof. Non-limiting examples of gastric soluble pore-forming polymers may include, for example, Eudragit® E1〇〇/Ep〇 (aminoalkyl methacrylate and neutral methacrylate), AEA® (polyethylene B) Acetal diethylaminoethyl ester, available from Sankyo Co., Ltd. (Tokyo), and mixtures thereof. Non-limiting examples of enteric pore-forming polymers may include, for example, cellulose acetate phthalate, hydroxypropyl fluorene fiber Vitamin phthalate, Eudragit® L1〇〇4S100, and mixtures thereof. When a porogen is present in the taste masking layer, the water-insoluble polymer is water soluble, gastric soluble or enteric. The ratio of the blister may vary from about 95/5 by weight to about 5 〇/5 〇 by weight, or any other ratio therein. The amount of the taste masking coating may range from from 5% to about 3G% of the taste masking The total weight of the particles containing the ruthenium (iv), or about 153421.doc 201127375 from about 10% to about 15% to about 20 〇 / 〇 - 5% - 25%, about 5% - 20%, about 5% - 15. / 〇 , about 5%_1〇% 30%, about 10%-25%, about l〇%-2〇%, about 1〇% 15% 30%, about 5〇%-25%, about 15%_20%, about 2〇% 3〇% 25%, or about 25%-3G%, or any other value or range of values within the ranges recited. 'The ODT compositions described herein include rapidly dispersed pellets, The rapidly dispersing granules comprise a disintegrant and a sugar alcohol and/or a saccharide. The rapidly dispersing granules typically comprise a sugar alcohol (such as mannitol) and/or a saccharide (such as lactose) & a super disintegrant (such as crospovidone). Beta alcohol and / The saccharide and the disintegrant are usually present in the rapidly dispersing granules in a ratio of from about 99:1 to about 9 〇:1 〇 (sugar alcohol and/or saccharide: disintegrant). The disintegrant may include one " Super disintegrant." Non-limiting examples of so-called superdisintegrants may include cross-web steel (cross-linked pvp), sodium starch glycolate, cross-linked (tetra)methylcellulose nano, low-substituted (tetra)-based cellulose, and mixtures thereof. The amount of disintegrant in the rapidly dispersing granules may range from about 1% to about 5% or about 5% to the total weight of the rapidly dispersing granules, for example about 1%, about 2%, about 3 %, about 4%, about 5%, about 6%, about 7% 'about 8%, about 9%, or about 1%, including all ranges, sub-ranges, and values therebetween. Sugar alcohols are typically vaporized forms of carbohydrates in which a carbonyl group (e.g., an aldehyde or ketone) has been reduced to a primary or secondary hydroxyl group. Non-limiting examples of suitable sugar alcohols for use in the rapidly dispersing pellets of the DT composition of the present invention may include, for example, arabitol, ISGMALT® (- consisting of two sugars, glucose and mannitol) Two 15342 丨.doc -18- 201127375 sugar), erythritol, glycerol, lactitol, mannitol, sorbitol, maltitol, and mixtures thereof. The term "saccharide" is generally synonymous with the term "sugar" and includes monosaccharides (such as glucose, fructose, lactose, and ribose); and disaccharides (eg, sucrose, lactose, maltose, trehalose, and cellobiose). Non-limiting examples of suitable saccharides for use in the compositions of the present invention include, for example, lactose, sucrose, maltose, and mixtures thereof. In still another embodiment, the rapidly dispersing granules can include at least one disintegration The decomposing agent is combined with a sugar alcohol. In another embodiment, the lyophilic rapidly dispersing granules may comprise at least one disintegrant combination. In still other embodiments, the disintegrating agents are included: At least one disintegrant is combined with a sugar alcohol and a saccharide. The amount of sugar alcohol and/or saccharide in the rapidly dispersing granules may range from about 99% to 9G%, or from about 95% to 9%. The total weight of the rapidly dispersing pellets is, for example, about 90%, about 91%, about 92%, about 93%, about 9 as rhodium, about 95%, about 96%, about 97%, about 98%. Or about 99./., including all ranges and sub-ranges in between In some embodiments, the average particle size of the primary particles of the sugar alcohol and/or saccharide is 3 〇μηι or less, such as about 5 to 30 Å, about 5 to 25 μηη, about 5 to 2〇_, about bow to ^μιη, about 5 to 1〇_, about 1 () to 3G (four), about 1 to 25 (four) about ^ to 20 (four), about 10 to 15 μΓΏ, about 15 to 3 (four), about. Is a range of about 15 to 20 μm, about 20 to 30 μm, about 20 to 25 μm, or about 25 to 3 μmη ' or any other value or value. Before coating with a taste masking layer, Isoprene ester particles (eg, crystalline I53421.doc -19·201127375 or non-fluorene-like D-specific esters, granulated π-pyryl esters, or topiramate-layered beads) typically have an average particle size of about 1-100 μm. In some embodiments about b 50 μηη or about 1-30 μπι, or an average particle size as otherwise disclosed herein. After coating with a taste masking layer, the taste-masking contains a carrier. The ester-like particles generally have an average particle size. Not less than about 5 μμηη. If the average particle size is significantly higher than about 500 μη, one includes such particles. The disintegrated 〇dt may have an unpleasant "gravel-like" texture in the patient's mouth and may require additional measures to increase palatability. When the average particle size is less than about 00 μηη, the decomposed ODT is usually in the patient. The mouth has a more palatable "creamy" texture. The amount of rapidly dispersing granules or the amount of disintegrant-sugar alcohol/sugar combination compared to odor-containing granules containing oxime esters The amount of disintegrant-sugar alcohol/sugar combination in the composition of the present invention may range from about 40% depending on the desired rate of disintegration and desired organoleptic properties including taste masking, mouthfeel and aftertaste. Up to about 95% 'including about 4%, about peach, about 5%, about 55/〇, about 60%, about 65%, about 7〇%, about 75%, about 8%, about jumping, about 90%, and about 95%, including all values, ranges, and subranges therebetween. In one embodiment, the amount of disintegrant-sugar alcohol/sugar combination is from about 60% to 70% of the total weight of the composition. In another embodiment, the amount of disintegrant-sugar alcohol/sugar combination is about 65% by weight. The ODT compositions described herein contain a sufficient amount of taste-masked drug-containing particles to provide a therapeutically effective amount of tolperine. The amount of the pharmaceutical component in the ODT compositions described herein can range from about 5% to about 25% 'including about 5%, about 1%, about 15%, about 2%, and about 153,421.doc 20-201127375 25 % 'includes all values, ranges, and subranges in between. In addition to acceptable disintegration and organoleptic properties. ^ Commercially acceptable ODT formulations typically require a blister/squeezing that fits into the bottle or is packaged into a pile film base and/or release paper base. Hardness and brittleness for storage, transportation and commercial distribution in development. Thus, in addition to the taste-masked topiramate-containing granules, disintegrants, and sugars and sugars, the ODT compositions described herein may also include other hydrazine, other acceptable ingredients or excipients. The ingredients or excipients may aid in the formation of tablets having acceptable hardness and brittleness characteristics, facilitating n-Fengshanchu <resolving and/or improving the ODT preparations Sensory characteristics. Examples of suitable excipients for use in the compositions or dosage forms described herein may include fillers, diluents, glidants, disintegrants, dry (d) emollients, and the like. Other pharmaceutically acceptable excipients may include acidifying agents, alkalizing agents, preservatives, antioxidants, buffers, chelating agents, coloring agents, complexing agents, emulsifying agents, and/or solubilizing agents, flavoring agents, and flavoring agents, Humectants, sweeteners, humectants, etc. Examples of suitable fillers, diluents and/or binders may include lactose (e.g., spray dried lactose, alpha lactose, strontium lactose, TaMet®®, different grades of Pharmatose®, Microtose® or Fast- Floe®), microcrystalline cellulose (eg Avicel PH101, Avicel PH102, Ceolus KG-802, Ceolus KG-1000, pros〇iv SMCC 50 or SMCC90, different grades of Elcema®, Vivacel®, Ming Tai® or Solka-Fl 〇c®), propylcellulose, L-hydroxypropylcellulose (low substituted), hydroxypropylmethylcellulose (HPMC) (eg Methocel E, F and K, Shin-153421.doc -21 · 201127375

Etsu公司的 Metolose SH像例如 4,000 cps級別的 Methocel E 和 Metolose 60 SH、4,000 cps級別的 Methocel F和 Metolose 65 SH、4,000、15,000以及 l〇〇,〇〇〇級別的 Methocel K ;以 及 4,000、15,000、39,000 以及 100,000級別的 Metolose 90 SH)、曱基纖維素聚合物(像例如Methocel A、Methocel A4C、Methocel A1 5C、Methocel A4M)、經乙基纖維素、 羧甲基纖維素鈉、羧甲基羥乙基纖維素以及其他纖維素衍 生物、蔗糖、瓊脂糖、山梨糖醇、甘露醇、糊精、麥芽糊 精、澱粉或改性澱粉(包括馬鈴薯澱粉、玉米澱粉以及米 澱粉)、磷酸鈣(例如鹼性磷酸鈣、磷酸氫鈣、磷酸氫二|丐 水合物)、硫酸鈣、碳酸鈣、海藻酸鈉、膠原等。 稀釋劑的具體實例可以包括碳酸鈣、二域式磷酸舞、三 域式麟酸的、硫酸約、微晶纖維素、粉狀纖維素、葡聚 糖、糊精、葡萄糖、果糖、高嶺土、乳糖、甘露醇、山梨 糖醇、澱粉、預膠凝澱粉、蔗糖、糖等。 助流劑和潤滑劑的具體實例可以包括硬脂酸、硬脂酸 鎮、硬脂酸鈣或其他硬脂酸金屬鹽、滑石、蠟和甘油醋、 輕質礦物油、peg、甘油二十二烷酸酯、膠體二氧化矽、 氫化植物油、玉米澱粉、硬脂醯醇富馬酸鈉、聚乙二醇、 院基硫酸鹽、苯曱酸鈉、乙酸鈉等。Etsu's Metolose SH is like Methocel E and Metolose 60 SH at 4,000 cps, Methocel F and Metolose 65 SH at 4,000 cps, 4,000, 15,000 and l〇〇, Methocel K at the 〇〇〇 level; and 4,000, 15,000, 39,000 and 100,000 grades of Metolose 90 SH), mercapto cellulose polymers (such as, for example, Methocel A, Methocel A4C, Methocel A1 5C, Methocel A4M), ethylcellulose, sodium carboxymethylcellulose, carboxymethylhydroxyl Ethyl cellulose and other cellulose derivatives, sucrose, agarose, sorbitol, mannitol, dextrin, maltodextrin, starch or modified starch (including potato starch, corn starch and rice starch), calcium phosphate (for example, alkaline calcium phosphate, calcium hydrogen phosphate, hydrogen phosphate dihydrate), calcium sulfate, calcium carbonate, sodium alginate, collagen, and the like. Specific examples of the diluent may include calcium carbonate, two-domain phosphoric acid dance, three-domain linonic acid, sulfuric acid, microcrystalline cellulose, powdered cellulose, dextran, dextrin, glucose, fructose, kaolin, lactose. , mannitol, sorbitol, starch, pregelatinized starch, sucrose, sugar, and the like. Specific examples of the glidant and the lubricant may include stearic acid, stearic acid town, calcium stearate or other metal stearate, talc, wax and glycerin, light mineral oil, peg, glycerin twenty-two Alkanoic acid ester, colloidal cerium oxide, hydrogenated vegetable oil, corn starch, sodium stearyl fumarate, polyethylene glycol, hospital based sulfate, sodium benzoate, sodium acetate, and the like.

其他賦形劑可以包括例如調味劑、著色劑、掩味劑、pH 調節劑、緩衝劑、防腐劑、穩定劑、抗氧化劑、濕潤劑、 濕度調節劑、表面活性劑、懸浮劑、吸收增強劑、釋放改 進劑等。 15342l.doc 22- 201127375 調味劑的非限制性實例可以包括例如在高達約3%(基於 該片劑的重量)下,櫻桃、薄荷 '桔+、或其他可接受的 水果的調味劑,及其混合物。此外,本發明的組合物還可 以包括在高達約2%重量(以基於片劑重量)下,一或多種增 甜劑,如阿斯巴甜、三氯蔗糖、或其他藥學上可接受的增 甜劑或其混合物。此外,本發明的組合物可以包括在高達 0. 5 /〇重里(基於片劑重量)下,一或多種著色劑紅# 7(弼色澱)、FD&C紅# 27(鋁色澱)、FD&C藍# 1(鋁色澱)。 k氧化劑可以包括例如抗壞灰酸、抗壞企酸棕櫚酸酯、 丁羥茴醚(BHA)、丁羥甲苯(BHT)、次磷酸、單硫代甘 油、焦亞硫酸氫鉀、沒食子酸丙酯、甲醛次硫酸鈉、焦亞 硫酸納、硫代硫酸鈉、二氧化硫、生育酚、生育酚乙酸 酉旨 '生育齡半琥拍酸醋、TPGS或其他生育酚衍生物、 等。 例如’在此描述的ODT組合物可以包括一合成的増甜劑 如三氯蔗糠、一調味劑如櫻桃調味劑、一製錠助劑如微晶 纖維素、以及一另外的崩解劑。 當在此描述的ODT組合物包括快速分散的微粒劑時,該 組合物還可以包括包含一另外的崩解劑。該另外的崩解劑 可以是用於該等快速分散的微粒劑中的相同的崩解劑,或 是一不同的崩解劑。另外的崩解劑可以以高達約丨〇%(基於 β亥片劑重量)存在于本發明的〇DT組合物中,例如高達、約 1。 /〇、高達約2%、高達約3%、高達約4%、高達約5%、高 達約6%、高達約7%、高達約8%、高達約9。/。、或高達約 153421.doc •23· 201127375 ίο%,包括其間所有的範圍和子範圍。 另外的崩解劑的具體實例可以包括例如海蒸酸或藻酸 鹽、微晶纖維素、經丙基纖維素以及其他的纖維素衍生 物、交聯叛甲基纖維素鈉、交聚維酮、波拉克林钟、殿粉 乙醇酸鈉、澱粉、預膠凝澱粉、羧甲基澱粉(例如 PHmc)ge1% Explota^等。枯合劑的具體實例可以包括例 如阿拉伯膠;^滿酸、瓊脂、角又菜膠約、缓甲基纖維素 納微曰曰纖維素、糊精、乙基纖維素、明膠、液體葡萄 糖瓜爾膝、經丙基甲基纖維素、甲基纖維素、果膠、 PEG、聚維酮、預膠凝澱粉、等。 在另一實施方式中,在此描述的〇DT組合物可以包括約 25 /〇至55 /〇的肖—包括一不溶于水的聚合物(例如乙基纖維 素)的掩味層微囊化的托吡酯晶體;約8〇%至4〇%的快速分 散的粒料(例如,包括交聚維酮和甘露醇);約5%的另外的 朋解劑(例如,交聚維酮);約1%的一或多種調味劑,以及 約0.5%至1%的一增甜劑(例如,三氣蔗糖)。 在此描述的〇DT組合物可以包括一治療有效量的用一掩 味層包被的托吡酯,例如處於一片劑的形式,該片劑進一 步包括快速分散的粒料,該等快速分散的粒料包括一崩解 W和一種糖醇和/或糖類。當給藥時,本發明的〇DT片劑 的快速分散的粒料在患者的口腔中快速地膨脹和/或溶 解’由此引起該ODT片劑崩解成掩味的含有托。比酯的顆粒 從而形成一光滑的、適口的、易於吞咽的懸浮液。 在另一實施方式中,在此描述的〇DT組合物可以包括掩 153421.doc •24- 201127375 味的含有托吡酯的微顆粒、一或多種調味劑、一增甜劑、 快速分散的微粒劑、微晶纖維素、一另外的崩解劑、以及 一潤滑劑(如硬脂酸鎂)’壓成口腔崩解片。由此形成的口 腔崩解片當在口腔中與唾液接觸時快速崩解,並且具有一 種令人愉快的味道、一種「奶油樣」的口感、並且典型地 提供了在胃中快速、基本上完全釋放該托吡酯劑量,不引 起顯著的胃刺激。 在又另一實施方式中,在此描述的〇DT組合物可以包括 掩味的藥物微顆粒以及任選地調味劑、增甜劑、以及在一 台裝備有一用於預先潤滑模具和沖頭的外部潤滑系統的壓 片機中的其他藥學上可接受的賦形劑,由此提供一另外的 不含潤滑劑的ODT配製品。如此生產的口腔崩解片典型地 展不出足夠的硬度和足夠低的脆性以便適合用於使用常規 的設備封裝入高密度聚乙稀(HDPE)瓶中和擠過式薄膜基或 剝離紙基的泡罩包裝或alu_aiu小袋中用於儲存、運輸和商 業配送。該任選的調味劑、增甜劑、以及其他的藥學上可 接受的賦形劑、壓片機,等,連同壓縮條件包括例如在美 國專利申請號 US 2009/0202630、US 2009/0155360、US 2009/0169620、US 2009/0092672、US 2007/0196491、US 2007/0190145、US 2006/0105039、US 2006/0105038、US 2006/0078614、US 2006/0057199、以及 US 20050232988 中 描述的那些,出於所有目的將其中每一個藉由引用以其全 部内容結合在此。 在患者的口腔中在此描述的ODT組合物的崩解速率可以 153421.doc -25- 201127375 是以下等級,即約60秒或更少、約50秒或更少、約40秒或 更少、約30秒或更少、約20秒或更少、或約1〇秒或更少 (包括其間的所有範圍和子範圍)。 還可以使用不同的體外測試方法例如USP <701>崩解試 驗對崩解速率進行測量' 當使用USP <701>崩解試驗時, 在此描述的本發明的ODT組合物的崩解速率通常比常規 的、非ODT立即釋放的含有托吡酯的組合物的崩解速率 快’例如60秒或更少、30秒或更少、20秒或更少、或1〇秒 或5秒或更少。術語「非〇dt立即釋放含有托吡酯的組合 物」係指旨在被吞咽並且在胃腸道中吸收的常規片劑或膠 囊、或需要0且嚼以破碎該片劑結構的η且嘴片,並且它們不 含有用於延遲托吡酯釋放的延長釋放包衣或控制釋放包 衣。 可以使用美國藥典裝置2(槳葉@50 rpm,在900 mL的 0.01或0.1 N HC1,pH 3.0或4.5或6.8(磷酸鹽)緩衝劑或純水 中)對在此描述的ODT的溶出率進行評價。當使用美國藥 典裝置2時,藥物(例如,托„比酯)的溶出速率與常規的、非 ODT立即釋放含有托吡酯的組合物的溶出速率係可比較 的’例如在30分鐘内釋放約70%、約75%、約8〇%、約 85%、約90%、約95。/。、或約1〇〇。/。的托吡酯。換言之,在 相關的溶出介質中對於測試配製品和參比配製品兩者這類 比較的溶出率係相似的。 當置於口中直至呑咽時在此描述的本發明的〇dt組合物 提供了良好的味道掩蓋(例如當在?11約7 〇下在模擬唾液中 153421.doc -26- 201127375 進行溶出度測試時在約3分鐘内釋放不超過約ι〇%的㈣ 劑量)。當使用USP <70卜崩解試驗進行評價時如在此^ 述的-ODT典型地將在約30秒内崩解,並且當在體_口田 腔中的唾液接觸時典型地將在約6〇秒内崩解形成一呈有可 接受的後味的掩味的微顆粒的光滑的、易於吞咽的懸浮 液。當進入胃時該等掩味的微顆粒將典型地提供包含:該 〇DT中的托吡酯劑量的基本上完全的釋放(例如當在楔: 胃液或G.G! N HC1中進行溶出度賴時在物分鐘内釋放 不少於約50%或不少於約60%的托吡酯劑量)。 根據本發明的實施方式可以藉由任何適合的方法製備含 有樂物的顆粒(例如含有托吡酯的顆粒)。例如,可以藉由 將樂物晶體、一或多種崩解劑以及一或多種填充劑(例如 糖酵、糖類和/或微晶纖維素)在一高剪切造粒機或1化 床&粒機中使用—或多種聚合物枯合劑的-溶液進行造粒 來衣備本發明的含有藥物的顆粒,並且在流化床設備 在吊規烘相中的託盤上進行乾燥以生產例如含有托η比竭的 粒料。 51 I代地’可以藉由例如在一流化床包衣裝置中將 或溶解於-藥學上可接受的溶劑(例如水、醇類如乙:、 嗣^如丙綱、煙類如環己烧、以及它們的組合)t的該藥 物和4合物枯合劑的一溶液成層到一惰性:S上(例如辘 珠粒、纖維素珠粒、或石夕石珠粒)來製備含有藥 粒。 J ^ 在本發明的某些實施方式中,可以藉由溶劑凝聚法或微 153421.doc -27- 201127375 囊化技術藉由使用一不溶于水的聚合物、或—不溶于水的 聚合物與一胃溶性成孔劑(例如碳酸鈣)的組合進行相八離 藉由在美國專利申請號11/213,266中所描述的方法(出於所 有目的藉由引用將其以其全部内容結合在此)用—掩味層 將含有托吡酯的顆粒(例如含有托吡酯的粒料、托吨醋曰曰 體和/或托。比酯成層的珠粒)進行包被。例如,在一實施方 式中,可以在一流化床造粒機中將托吡酯成層在糖球上並 且提供一保護性密封包衣(例如〇padry CIear)。然後如美 國專利申請序號11/256,653中所述(出於所有目的將其藉由 引用結合在此),可以藉由用一不溶于水的聚合物(例如乙 基纖维素)與一胃溶性成孔劑(例如碳酸鈣)相組合在環己烷 中進行微囊化(例如藉由相分離)將生成的托吡酯成層的珠 粒進行掩味從而提供掩味的珠粒。可替代地,可以^據本 發明藉由流化床包衣法或者溶劑凝聚法用用—掩味層將具 有平均粒度範圍約^00 μηι、約5〇_15〇 μιη、或其中任^ 其他的值或值的範圍的托吡酯(和/或一或多種其他的藥物) 晶體進行包被。還可以如在此所述藉由溶劑凝聚法將具有 平均粒度約5 μηι至50 μηι的結晶的托吡酯進行掩味。 在本發明的某些其他實施方式中,可以用一腸溶性聚合 物'或-不溶于水的聚合物與—腸溶性聚合物的一組合藉 由抓化床^衣法用—掩味層將含有托吡酯的顆粒(例如含 有托比自日的粒料、托。比晶體和/或托。比g旨成層的珠粒)進 行包被。該腸溶性聚合物可以選自下組,其組成為:羥丙 基甲基纖維素或_曱纖維切苯二曱㈣、乙酸鄰笨二 153421.doc -28- 201127375Other excipients may include, for example, flavoring agents, coloring agents, taste masking agents, pH adjusting agents, buffering agents, preservatives, stabilizers, antioxidants, wetting agents, humidity regulators, surfactants, suspending agents, absorption enhancers , release of improvers, and the like. 15342l.doc 22- 201127375 Non-limiting examples of flavoring agents can include, for example, up to about 3% (based on the weight of the tablet), cherry, mint 'orange +, or other acceptable fruit flavorings, and mixture. In addition, the compositions of the present invention may also include up to about 2% by weight (based on the weight of the tablet) of one or more sweeteners such as aspartame, sucralose, or other pharmaceutically acceptable increase. Sweetener or a mixture thereof. Further, the composition of the present invention may be included in a weight of up to 0.5 / 〇 (based on the weight of the tablet), one or more of the coloring agent red # 7 (弼 lake), FD & C red # 27 (aluminum lake) , FD & C Blue # 1 (aluminum lake). The k oxidizing agent may include, for example, ascorbic acid, ascorbic acid palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), hypophosphorous acid, monothioglycerol, potassium metabisulfite, gallic acid. Acid propyl ester, sodium formaldehyde sulfoxylate, sodium metabisulfite, sodium thiosulfate, sulfur dioxide, tocopherol, tocopherol acetate, 'fertility half sucrose vinegar, TPGS or other tocopherol derivatives, and the like. For example, the ODT compositions described herein can include a synthetic sweetener such as sucrose, a flavoring such as cherry flavoring, a tableting aid such as microcrystalline cellulose, and an additional disintegrant. When the ODT compositions described herein include rapidly dispersing microgranules, the composition may also include an additional disintegrant. The additional disintegrant may be the same disintegrant used in the rapidly dispersing microgranules or a different disintegrant. Additional disintegrants may be present in the DT composition of the present invention at up to about 丨〇% (based on the weight of the β hai tablet), for example up to about 1. /〇, up to about 2%, up to about 3%, up to about 4%, up to about 5%, up to about 6%, up to about 7%, up to about 8%, up to about 9. /. Or up to approximately 153421.doc •23·201127375 ίο%, including all ranges and sub-ranges in between. Specific examples of the additional disintegrant may include, for example, sea evaporated acid or alginate, microcrystalline cellulose, propylcellulose, and other cellulose derivatives, crosslinked methyl cellulose sodium, crospovidone , Pollackin clock, Palace powder sodium glycolate, starch, pregelatinized starch, carboxymethyl starch (such as PHmc) ge1% Explota^ and so on. Specific examples of the dry agent may include, for example, gum arabic; full acid, agar, horn gum, slow methylcellulose nanofine cellulose, dextrin, ethyl cellulose, gelatin, liquid glucose guar knee , propylmethylcellulose, methylcellulose, pectin, PEG, povidone, pregelatinized starch, and the like. In another embodiment, the 〇DT compositions described herein may comprise a taste masking layer microencapsulation comprising from about 25/〇 to 55 /〇, including a water-insoluble polymer such as ethyl cellulose. Topiramate crystals; about 8% to 4% by weight of rapidly dispersing pellets (for example, including crospovidone and mannitol); about 5% of additional degumming agents (eg, crospovidone); 1% of one or more flavoring agents, and about 0.5% to 1% of a sweetener (eg, tri-sucrose). The DT composition described herein can comprise a therapeutically effective amount of topiramate coated with a taste masking layer, for example in the form of a tablet, the tablet further comprising rapidly dispersing granules, such rapidly dispersing granules It includes a disintegration W and a sugar alcohol and/or sugar. When administered, the rapidly dispersing pellets of the DT tablet of the present invention rapidly swell and/or dissolve in the oral cavity of the patient' thereby causing the ODT tablet to disintegrate into a taste-masked containment. The particles of the ester form a smooth, palatable, swallowable suspension. In another embodiment, the 〇DT compositions described herein may include topiramate-containing microparticles, one or more flavoring agents, a sweetener, rapidly dispersing microgranules, 153421.doc •24-201127375 flavor, Microcrystalline cellulose, an additional disintegrant, and a lubricant such as magnesium stearate are pressed into an orally disintegrating tablet. The orally disintegrating tablet thus formed rapidly disintegrates when contacted with saliva in the oral cavity, and has a pleasant taste, a "creamy" mouthfeel, and typically provides a rapid, substantially complete in the stomach. The topiramate dose was released without causing significant gastric irritation. In yet another embodiment, the 〇DT compositions described herein can include taste-masked drug microparticles, and optionally flavoring agents, sweeteners, and a device for pre-lubricating the mold and the punch. Other pharmaceutically acceptable excipients in the tablet press of the external lubrication system thereby providing an additional lubricant-free ODT formulation. The orally disintegrating tablets thus produced typically exhibit insufficient hardness and sufficiently low brittleness to be suitable for encapsulation into high density polyethylene (HDPE) bottles and extruded film based or release paper bases using conventional equipment. The blister pack or alu_aiu pouch is used for storage, transportation and commercial distribution. The optional flavoring agents, sweeteners, and other pharmaceutically acceptable excipients, tablet presses, and the like, as well as compression conditions, include, for example, in U.S. Patent Application No. US 2009/0202630, US 2009/0155360, US Those described in 2009/0169620, US 2009/0092672, US 2007/0196491, US 2007/0190145, US 2006/0105039, US 2006/0105038, US 2006/0078614, US 2006/0057199, and US 20050232988, for all Purpose Each of these is incorporated herein by reference in its entirety. The rate of disintegration of the ODT compositions described herein in the oral cavity of a patient may be 153421.doc -25 - 201127375 being the following grade, ie about 60 seconds or less, about 50 seconds or less, about 40 seconds or less, About 30 seconds or less, about 20 seconds or less, or about 1 second or less (including all ranges and subranges therebetween). The rate of disintegration can also be measured using different in vitro testing methods such as the USP <701> disintegration test. The disintegration rate of the ODT compositions of the invention described herein when using the USP <701> disintegration test. The rate of disintegration is generally faster than conventional, non-ODT immediate release topiramate-containing compositions, such as 60 seconds or less, 30 seconds or less, 20 seconds or less, or 1 second or 5 seconds or less. . The term "non-〇dt immediate release of a composition containing topiramate" means a conventional tablet or capsule intended to be swallowed and absorbed in the gastrointestinal tract, or a η and mouth piece which requires 0 and chews to break the structure of the tablet, and they are There is no extended release coating or controlled release coating for delaying the release of topiramate. The dissolution rate of the ODT described herein can be performed using the United States Pharmacopoeia device 2 (paddle @50 rpm in 900 mL of 0.01 or 0.1 N HCl, pH 3.0 or 4.5 or 6.8 (phosphate) buffer or pure water). Evaluation. When the U.S. Pharmacopoeia device 2 is used, the dissolution rate of the drug (e.g., the terpene ester) is comparable to the dissolution rate of a conventional, non-ODT immediate release topiramate-containing composition, e.g., about 70% released within 30 minutes. , about 75%, about 8%, about 85%, about 90%, about 95%, or about 1% of topiramate. In other words, for the test formulation and reference in the relevant dissolution medium. The comparative dissolution rates of such formulations are similar. The 〇dt compositions of the present invention described herein when placed in the mouth until whimper provide good taste masking (eg, when at about 11 约 7 在Simulated saliva 153421.doc -26- 201127375 Releases no more than about ι〇% of the (four) dose in about 3 minutes when the dissolution test is performed. When evaluating using the USP <70b disintegration test, as described here The -ODT will typically disintegrate in about 30 seconds and will typically disintegrate in about 6 seconds when contacted by saliva in the body cavity to form a taste-masking microfeel with an acceptable aftertaste. a smooth, easy-to-swallow suspension of particles that is taste-masked when entering the stomach The microparticles will typically provide for a substantially complete release of the topiramate dose in the DT (eg, when released at a wedge: gastric juice or GG! N HC1 for a dissolution rate of no less than about 50 in minutes) % or not less than about 60% of the topiramate dose.) According to an embodiment of the present invention, particles containing a musical substance (for example, topiramate-containing particles) can be prepared by any suitable method. For example, by using a crystal of a musical substance, One or more disintegrants and one or more fillers (eg, glycolic, sugar, and/or microcrystalline cellulose) are used in a high shear granulator or a 1 bed & granule machine - or a plurality of polymers The mixture-solution is granulated to prepare the drug-containing granules of the present invention, and is dried on a tray in a fluidized bed apparatus in a hanging drying phase to produce, for example, pellets containing enthalpy. ' can be, for example, dissolved or dissolved in a pharmaceutically acceptable solvent (eg, water, alcohols such as B:, propyl), sulphur such as cyclohexanthate, and Their combination) t of the drug and the mixture of 4 compounds A solution is layered onto an inert: S (eg, bead beads, cellulose beads, or Shishi stone beads) to prepare a drug-containing granule. J ^ In certain embodiments of the invention, the solvent may be used Coacervation or micro 153421.doc -27- 201127375 Encapsulation technology by phase in combination with a water-insoluble polymer, or a combination of a water-insoluble polymer and a gastric-soluble porogen (such as calcium carbonate) The topiramate-containing granules (eg, topiramate-containing granules) are coated with a taste masking layer by the method described in U.S. Patent Application Serial No. 11/213,266, the entire disclosure of which is incorporated herein by reference in its entirety for all purposes. Material, ton of vinegar body and / or care. Coating is carried out than the beads layered with the ester). For example, in one embodiment, topiramate can be layered onto the sugar spheres in a fluidized bed granulator and a protective seal coat (e.g., 〇padry CIear) can be provided. Then, as described in U.S. Patent Application Serial No. 11/256,653, the entire disclosure of which is incorporated herein by reference in its entirety, in the in the in the The porogen (e.g., calcium carbonate) phase is combined in cyclohexane for microencapsulation (e.g., by phase separation) to form the topiramate-layered beads to taste-mask the beads to provide taste-masking beads. Alternatively, it may be used according to the present invention by a fluidized bed coating method or a solvent agglomeration method - the taste masking layer will have an average particle size range of about 00 μηι, about 5 〇 _15 〇 μηη, or any of them. The value or range of values for topiramate (and/or one or more other drugs) crystals are coated. The crystalline topiramate having an average particle size of about 5 μηι to 50 μηι can also be taste masked by solvent coacervation as described herein. In certain other embodiments of the invention, an enteric polymer or a combination of a water-insoluble polymer and an enteric polymer may be used by a blanketing method to mask the taste layer. Topiramate-containing granules (e.g., granules containing tortoise, granules, granules, and/or susceptibility beads) are coated. The enteric polymer may be selected from the group consisting of: hydroxypropylmethylcellulose or styrene fiber bismuth bismuth (tetra), acetic acid arbitrarily 253421.doc -28- 201127375

甲-久、’減、准素 I乙酸乙烯鄰苯二甲酸g旨、作為Eudragit L 或S聚合物可商購的PH-敏感的甲基丙烯酸甲酯共聚物、或 其組合。 酒精和/或藥物濫用和依賴係普遍的並且據估計在2000 年約2千萬至2.5千萬的美國成人濫用酒精和/或藥物或對其 有依賴性。對酒精與藥物依賴性和濫用的神經生理學研究 表明酒精與藥物依賴性和濫用可能與酒精或藥物介導的大 月®内的獎賞通路的刺激相關,該刺激係由與酒精和/或其 他藥物的攝取相關聯的多巴胺水平增加造成的。J〇hns〇n 與同事們(Johnson,Β· A. et al. (2003). "Oral t〇Piramate for treatment of alcohol dependence: a randomized controlled trial’·· The Lancet 361: 1677-1685; Johnson, B. A.;A-long, minus, quasi-I acetate vinyl phthalate, a PH-sensitive methyl methacrylate copolymer commercially available as Eudragit L or S polymer, or a combination thereof. Alcohol and/or drug abuse and dependence are widespread and it is estimated that between 2000 and 20 million American adults in 2000 abused or relied on alcohol and/or drugs. Neurophysiological studies of alcohol dependence and drug dependence suggest that alcohol- and drug dependence and abuse may be associated with alcohol or drug-mediated stimulation of the reward pathway within the Great Moon®, which is linked to alcohol and/or other The increase in dopamine levels associated with drug intake is caused. J〇hns〇n and colleagues (Johnson, A. et al. (2003). "Oral t〇Piramate for treatment of alcohol dependence: a randomized controlled trial'·· The Lancet 361: 1677-1685; Johnson , BA;

Rosenthal, N.; Capece, J. A.; Wiegand, F.; Mao, L.; Beyers, K.; McKay,A.; Ait-daoud, N· et al. (Oct 2007). "Topiramate for treating alcohol dependence: a randomized controlled trial". 298 (14): 1641-1651)假 定托吡酯可以藉由幾種機制有效地治療酒精依賴,包括在 中腦内減少多巴胺的細胞外釋放的能力以及在神經受體處 拮抗谷氨酸活性。在酒精中毒和/或藥物成癮上的大多數 藥物療法試驗集中于用單一的藥理學試劑進行治療。然 而,用阿片樣物質(如納曲酮)進行研究證明阿片樣物質 μ(例如β内啡呔)、多巴胺、血清素(5-HT)、γ_氨基丁酸 (GABA)、以及谷氨酸受體對於酒精依賴的發展和維持的 重要性。Johnson和同事(WO 2009/029308)研究了使用乾向 ε 153421.doc •29- 201127375 夕個神經遞質糸統的多種藥物如托〇比醋、昂丹司禮、以及 納曲酮的組合用於治療酒精中毒和藥物成瘾。 食欲抑制劑如苯丁胺已經被處方地或非處方地廣泛使用 用於實現/維持體重減輕◎美國專利申請公開號 2009/0054372揭露了用於實現或維持體重減輕的包括托吡 酯、苯丁胺、以及維生素B-12的多種方法和試劑盒。為了 治療酒精中毒、藥物成癮、連同實現/維持體重減輕,如 果包括所要求的藥物的組合的劑型係作為對病人友好的、 方便的、以及順從的口腔崩解片可獲得的,這係最令人希 望的。 美國專利申請公開號2009/0054372(出於所有目的將其内 容藉由引用以其全部内容結合在此)揭露了用於實現或維 持體重減輕的包括治療有效量的托D比酯、苯丁胺、以及維 生素B-12(例如氰始胺素)的一方法和多種試劑盒。ρ〇τ專 利申請公開號WO 2009/029308(出於所有目的將其内容藉 由引用以其全部内容結合在此)揭露了用於治療酒精中毒 和藥物成癮的包括治療有效量的托吡酯、納曲嗣、和/或 昂丹司填的藥物組合。 因此’如在此描述的ODT組合物還可以任選地包括一或 多種適合用於治療在此描述的病症的另外的活性藥物成 刀’並且將它們個別地進行掩味。例如,可以藉由將掩味 的含有托吡酯的顆粒、掩味的含有苯丁胺的顆粒以及任選 地掩味的維生素B-12顆粒、快速分散的微粒劑、以及其他 ODT賦形劑進行共混並且壓成口腔崩解片來製備用 、貫現 153421.doc -30- 201127375 和/或維持體重減輕的一組合〇DT產品。 。可以用一不溶于Rosenthal, N.; Capece, JA; Wiegand, F.; Mao, L.; Beyers, K.; McKay, A.; Ait-daoud, N. et al. (Oct 2007). "Topiramate for treating alcohol dependence : a randomized controlled trial". 298 (14): 1641-1651) Assume that topiramate can effectively treat alcohol dependence by several mechanisms, including the ability to reduce the extracellular release of dopamine in the midbrain and antagonize at the neuroreceptors Glutamate activity. Most drug therapy trials on alcoholism and/or drug addiction focus on treatment with a single pharmacological agent. However, studies with opioids (such as naltrexone) have demonstrated that opioids μ (eg, beta endorphin), dopamine, serotonin (5-HT), gamma-aminobutyric acid (GABA), and glutamate. The importance of receptors for the development and maintenance of alcohol dependence. Johnson and colleagues (WO 2009/029308) studied the use of a combination of a variety of drugs such as tolby vinegar, ondansetril, and naltrexone using dry ε 153421.doc •29-201127375 For the treatment of alcoholism and drug addiction. Appetite suppressants such as phentermine have been widely used, either prescription or over-the-counter, for achieving/maintaining weight loss. U.S. Patent Application Publication No. 2009/0054372 discloses the use of topiramate, phentermine, for achieving or maintaining weight loss. And a variety of methods and kits for vitamin B-12. For the treatment of alcoholism, drug addiction, together with achieving/maintaining weight loss, if the dosage form comprising the combination of the required drugs is available as a patient-friendly, convenient, and compliant orally disintegrating tablet, this is the most Hopeful. U.S. Patent Application Publication No. 2009/0054372, the entire disclosure of which is hereby incorporated by reference in its entirety in its entirety in the entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire entire disclosure And a method and a plurality of kits for vitamin B-12 (such as cyanocyanine). ρ 〇 专利 专利 专利 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 A combination of Qufu, and/or Ondans. Thus, the ODT compositions as described herein may also optionally include one or more additional active pharmaceutical knives suitable for treating the conditions described herein and individually masking them. For example, by topping off taste-containing topiramate-containing granules, taste-masked phentermine-containing granules, and optionally taste-masked vitamin B-12 granules, rapidly dispersing granules, and other ODT excipients Mix and compress into an orally disintegrating tablet to prepare a combination 〇 DT product that is 153421.doc -30- 201127375 and/or maintains weight loss. . Can use one insoluble

ODT中的均勻分散兩者。 可以用一不溶于水的聚合物與一胃溶性聚合物(如 Eudragit E100或EP0(一種甲基丙烯酸氨烷基醋共聚物))進 行組合藉由例如流化床包衣法,藉由美國專利申請號 11/248,596中所述的方法(出於所有目的將其藉由引用以其 全部内容結合在此;)將含有藥物的顆粒(例如含有藥物的粒 料、藥物晶體和/或藥物成層的珠粒)進行掩味。 例如,使用一配備有一底部噴霧的Wurster插入物的流 化床包衣機將在一聚合物粘合劑溶液中溶解或懸浮的藥物 (例如托°比酯)成層到惰性顆粒(5〇_ 1 〇〇目或約丨5〇_3〇〇 μπι直 徑)如糖球或纖維素球(例如Celphere® CP-203)上。然後可 以如在此所述藉由流化床包衣法或藉由溶劑凝聚法將該等 藥物成層的珠粒進行掩味。 在一具體的實施方式中,將一不溶于水的聚合物(例如 乙基纖維素)、一相誘導劑(例如聚乙烯)、以及托吡酯裝入 15342I.doc •31- 201127375 -含有環己烷的凝聚罐中。將該罐中的混合物加熱至約 ㈣以便溶解該乙基纖料,並且然後在控制的條件下緩 慢進行冷卻由此引起用乙基纖維素相料地微囊化含有托 吼醋的顆粒。當達到環境溫度時,將微囊化的含有托π比酿 的顆粒的懸浮液進行過遽’用新鮮的環己院進行洗務並且 進行乾帛以便㈣留的溶劑水平減少到可接《的限度内 (例如’低於約4,0〇〇 ppm)。在一實施方式中,該殘留的溶 劑係以一低於約^⑼ppm的水平存在的。該微囊化的含 有托吡酯的顆粒的包衣重量範圍可以從約3%至約,包 括約5。/。、10%、15%、2〇%、以及抓,包括其中和其間 所有的範圍、子範圍以及值。這樣—凝聚過程的實例揭露 於美國 # 利號 5,252,337、5,639,475、6,139,865 以及 ’495,1 60中,出於所有目的各自藉由引用以其全部内容結 合在此。 替代地 凝聚〉谷液可以包括一不溶于水的聚合物 (例如乙基纖維素)與一不溶于水的或胃溶性成孔劑(例如碳 酉欠鈣)的一混合物。不溶于水的聚合物與成孔劑的比率範 圍可以從50/50至95/05,包括約55/45、約60/40、約 65/35、約 70/30、約 75/25、約 80/20、約 85/15、以及約 90/1 〇,包括在其中和其間所有的範圍、子範圍以及值。 Α囊化的藥物顆粒的包衣重量範圍可以從約3%至約20%, 包括約 5%、7.5%、10%、12.5%、15%、以及 17.5%,包括 在其中和其間所有的範圍、子範圍以及值。在一實施方式 中’该凝聚步驟包括在約8〇〇c下在一凝聚罐中將該含有托 153421.doc •32- 201127375 吼酯的顆粒懸浮在一乙基纖維素的溶液中。在冷卻循環期 間,在約58°C的溫度下將一微粉化的成孔劑引入該罐中, 同時不斷地攪拌該懸浮液以便在成形/硬化相期間將該成 孔劑均勻地分佈於該微膠囊-膜中。這樣一凝聚過程的實 例揭露於美國專利申請序號1 1/213,266中。 在一實施方式中,在此描述的ODT組合物可以藉由以下 方法進行製備,該方法包括:(a)將托吡酯與例如一填充劑 和/或稀釋劑如一種糖醇和/或糖類進行造粒,(b)藉由流化 床包衣法或凝聚法用一掩味層例如一不溶于水的聚合物 (如乙基纖維素)包被含有托°比酯的粒料,(c)任選地在一高 剪切造粒機中(例如,如在美國專利申請序號10/356,641中 所述’出於所有目的將其藉由引用結合在此)製備具有平 句初級粒度不大於3 〇 μ m包括一崩解劑(如交聚維_)和一 種糖醇(如甘露醇)的快速分散的微粒劑,(d)將該掩味的托 比Sa粒料與5亥快速分散的粒料,以及任選地其他藥學上可 接受的賦形劑進行共混,以及(e)將該共混物壓成一 〇DT組 合物。 在又另一實施方式中’在此描述的ODT組合物可以藉由 以下方法進行製備,該方法包括:(a)將托吡酯和一藥學上 可接嗳的粘合劑溶於一藥學上可接受的溶劑中的一溶液或 分散體包被到一惰性芯上並且除去該溶劑以形成一托吡酯 成B的珠粒,(匕)藉由流化床包衣法用—包括不溶于水的乙 基纖維素與一腸溶性聚合物進行組合的掩味層將托。比酯成 層的珠粒進行包被,(C)將該掩味的托吡酯成層的珠粒與快 153421.doc -33- 201127375 速刀政的微粒劑以及任選地其他的藥學上可接受的賦形劑 進行共混,以及(d)將該共混物壓成一 ODT組合物。 在又另一實施方式中,在此描述的該等ODT組合物可以 藉由以下方法進行製備,該方法包括:⑷將托。比醋和一藥 學上可接受的粘合劑溶於一藥學上可接受的溶劑中的一溶 液或分散體包被到一惰性芯上並且除去該溶劑以形成一托 吡酯成層的珠粒,(b)藉由流化床包衣法或凝聚法用一掩味 層(例如乙基纖維素與一胃溶性成孔劑,碳酸鈣)將托吡酯 成層的珠粒進行包被,(c)對一崩解劑和一種糖醇和/或糖 類的粒料進行包被以便形成快速崩解的粒料,(d)將該掩味 的托比S曰成層的珠粒與該快速崩解的粒料以及任選地其他 藥學上可接受的賦形劑進行共混,以及(e)將該共混物壓成 ODT組合物。該掩味的托吡酯顆粒可以包括一任選地置於 在該掩味層之下或該層之上的掩蓋外表的包衣層,由此使 得難以在包括快速分散的粒料和其他藥學上可接受的賦形 劑ODT片劑基質中清楚地看見該該掩味的托吡酯。 在一具體的實施方式中,在此描述的〇DT組合物可以藉 由以下步驟進行製備·(a)製備含有托β比酯的顆粒(例如在 一尚剪切造粒機或一流化床包衣機中藉由將具有平均粒度 約5-50 μιη的托吡酯結晶物質和一或多種稀釋劑/填充劑(如 礼糖、甘露醇、微晶纖維素及其混合物)與一聚合物粘合 劑進行造粒)或托吡酯成層的珠粒(藉由將托吡酯溶解於一 聚合物粘合劑溶液中並且在一流化床包衣機中將該托吡酉旨 溶液噴霧到惰性球(例如糖球或纖維素球)上並且使用一保 153421.doc -34- 201127375 護性密封包衣);(b)單獨地用乙基纖維素或與—胃溶性碳 酸鈣進行組合藉由微囊化技術(凝聚法)或流化床包衣法, 或者用乙基纖維素和Eudragit £1〇〇藉由流化床包衣法將含 有托吼S旨的顆粒進行掩味;(c)在一常規的造粒機中使用水 或一酒精-水混合物將一或多種糖醇和/或糖類(各自具有不 大於約30 μπι的平均粒徑)與一崩解劑(如交聚維酮)進行造 粒,並且在流化床設備或一常規的烘箱中將該製粒進行乾 燥從而生產具有平均粒度不大於約·㈣的快速分散的微 粒劑;(d)將步驟(b)的掩味的藥物微顆粒與—或多種調味 劑、一增甜劑、微晶纖維素、另外的崩解劑以及㈣(e)的 快速分散的微粒劑進行共混;以及⑷將步驟⑷的共混物 壓成ODT組合物。可以使用例如—台常規的裝備有用於預 先潤滑該等模具和沖頭的-外部潤滑#、統㈣_片機來 完成該壓縮。預先满滑該等模具和沖頭表面的這樣一方法 的實例揭露於美國專利號US 5,996,9G2、训M25 525、以 及6风如中’ Μ所有的目的將其各自藉由引用以其全 部内容結合在此。 可以藉由任何適合的方法製備在此描述的快速分散的粒 ^❹’可Μ由在―高剪切造粒機中將_或多種崩解 劑和-或多種糖醇和/或糖類進行造粒來製備該快速分散 的粒料’並且在流化床設備中或在—常規供箱中的气盤上 進行乾燥以生產該快速分散的粒料。還可以藉由美國專利 申請號1()/827’Π)6中所述的方法(出於所有的目的將鮮由 引用以其全部内容結合在此)來生產快速分散的微粒劑: J53421.doc •35· 201127375 在一具體的實施方式中,在此描述的ODT組合物可以藉 由以下進行製備’即共混:(a)藉由美國專利申請 1〇/827,106; 11/213,266; 11/248,596; 11/256,653(將其各 自藉由引用以其全部内容結合在此)中所述方法中的任何 一種所掩味的含有托吡酯的顆粒(例如含有托吼s旨的粒 料、托。比酯晶體和/或托°比酯成層的珠粒);(b)可以藉由美 國專利申請號1〇/827,106中所述的方法製備的快速分散的 微粒劑;以及(c)將該等含有托吡酯的顆粒、快速分散的粒 料、以及其他藥學上可接受的成分(如一調味劑 '一增甜 劑、一著色劑、一另外的崩解劑、和/或一壓縮助劑如微 晶纖維素)進行共混;以及(d)將該混合物壓成〇dt組合 物。可以使用一台裝備有用於在壓縮之前潤滑模具和沖頭 表面的一外部潤滑系統的旋轉壓片機來實現該壓縮步驟。 【實施方式】 實例 參照實例在以下部分中更詳細地描述本發明的實施方 式。使用包括托。比酿的以下實例來說明本發明。應該理解 的是在此所描述的實例和實施方式僅僅是用於說明性的目 的,並且根據它們的不同的變更或改變對於本領域的普通 技術人員是暗示性的並且應當被包括在本中請和所附申請 專利範圍的精神和知識範圍之内。 實例1 1.Α托吡酯微膠囊(包衣:2〇%重量) 將0 kg裒己烷、8〇〇 §托吼醋馬來酸鹽、2〇〇呂乙基纖維 153421.doc -36 - 201127375 素(來自Dow Chemicals公司的編❿_Uniform dispersion in both ODT. A water-insoluble polymer can be combined with a gastric-soluble polymer such as Eudragit E100 or EP0 (a copolymer of aminoalkyl methacrylate) by, for example, fluidized bed coating, with US patents The method described in Application No. 11/248,596 (which is hereby incorporated by reference in its entirety for all its purposes); Beads) for taste masking. For example, a fluidized bed coater equipped with a bottom spray of a Wurster insert is used to layer a drug (eg, a toluene ester) dissolved or suspended in a polymer binder solution to an inert particle (5 〇 1 〇〇目 or about 5〇_3〇〇μπι diameter) such as sugar spheres or cellulose spheres (eg Celphere® CP-203). The drug-layered beads can then be taste masked by fluidized bed coating or by solvent agglomeration as described herein. In a specific embodiment, a water-insoluble polymer (such as ethyl cellulose), a phase inducer (such as polyethylene), and topiramate are charged in 15342I.doc • 31- 201127375 - containing cyclohexane The coagulation tank. The mixture in the tank was heated to about (iv) to dissolve the ethyl fiber, and then slowly cooled under controlled conditions thereby causing microencapsulation of the particles containing the vinegar with ethyl cellulose. When the ambient temperature is reached, the microencapsulated suspension containing the π-grinding granules is subjected to hydration and washed with fresh cyclamen and dried to reduce (4) the solvent level remaining to be accessible. Within limits (eg 'below about 4,0 〇〇 ppm). In one embodiment, the residual solvent is present at a level of less than about (9) ppm. The microencapsulated topiramate-containing granules may have a coating weight ranging from about 3% to about, including about 5. /. , 10%, 15%, 2%, and grab, including all ranges, sub-ranges, and values between them. Thus, examples of agglomeration processes are disclosed in U.S. Patent Nos. 5,252,337, 5,639,475, 6,139, 865, and </RTI> 495, 156, each of which is incorporated herein by reference in its entirety for all purposes. Alternatively, the coagulating liquid may comprise a mixture of a water insoluble polymer (e.g., ethyl cellulose) and a water insoluble or gastric soluble pore former (e.g., carbonium under calcium). The ratio of water-insoluble polymer to porogen may range from 50/50 to 95/05, including about 55/45, about 60/40, about 65/35, about 70/30, about 75/25, about 80/20, approximately 85/15, and approximately 90/1 〇, including all ranges, sub-ranges, and values in and between them. The coated weight of the encapsulated drug particles can range from about 3% to about 20%, including about 5%, 7.5%, 10%, 12.5%, 15%, and 17.5%, including all ranges in and between , subrange, and value. In one embodiment, the agglomeration step comprises suspending the particles containing the oxime 153421.doc • 32-201127375 decyl ester in a solution of ethylcellulose in a coagulation tank at about 8 〇〇c. During the cooling cycle, a micronized porogen is introduced into the tank at a temperature of about 58 ° C while continuously stirring the suspension to evenly distribute the pore former during the forming/hardening phase. Microcapsules - in the film. An example of such a coacervation process is disclosed in U.S. Patent Application Serial No. 1 1/213,266. In one embodiment, the ODT compositions described herein can be prepared by the following methods: (a) granulating topiramate with, for example, a filler and/or diluent such as a sugar alcohol and/or sugar. (b) coating a pellet containing a toluene ester by a fluidized bed coating method or a coacervation method using a taste masking layer such as a water-insoluble polymer such as ethyl cellulose, (c) Optionally, in a high shear granulator (for example, as described in U.S. Patent Application Serial No. 10/356,641, the entire disclosure of which is incorporated herein by reference in its entirety for the entire entire entire entire entire entire entire entire entire entire entire disclosure μ m includes a disintegrant (such as an interpolymerization dimension) and a fast-dispersing microgranule of a sugar alcohol (such as mannitol), (d) the taste-masked Toby Sa pellets and 5 kel of rapidly dispersed granules Blending, and optionally other pharmaceutically acceptable excipients, and (e) compressing the blend into a DT composition. In yet another embodiment, the ODT compositions described herein can be prepared by: (a) dissolving topiramate and a pharmaceutically acceptable binder in a pharmaceutically acceptable manner. A solution or dispersion in a solvent is coated onto an inert core and the solvent is removed to form a topiramate-B-bead, (by) fluidized bed coating process - including water-insoluble ethyl A taste masking layer in which cellulose is combined with an enteric polymer will support. Coated with ester-layered beads, (C) the taste-masked topiramate-layered beads with fast granules of 153421.doc -33 - 201127375 and optionally other pharmaceutically acceptable fumes The agent is blended, and (d) the blend is pressed into an ODT composition. In yet another embodiment, the ODT compositions described herein can be prepared by a method comprising: (4) placing a tray. A solution or dispersion of vinegar and a pharmaceutically acceptable binder dissolved in a pharmaceutically acceptable solvent is applied to an inert core and the solvent is removed to form a topiramate layered bead, (b Applying topiramate-coated beads by a fluidized bed coating or coacervation method using a taste masking layer (such as ethyl cellulose and a gastric-soluble porogen, calcium carbonate), (c) a collapse The decomposing agent and a sugar alcohol and/or saccharide pellet are coated to form a rapidly disintegrating pellet, (d) the taste-masked Toby S layered bead and the rapidly disintegrating pellet and any Other pharmaceutically acceptable excipients are optionally blended, and (e) the blend is pressed into an ODT composition. The taste-masked topiramate particles can include a coating layer that is optionally disposed beneath or above the taste masking layer, thereby making it difficult to include rapidly dispersing pellets and other pharmaceutically acceptable materials. The taste-masked topiramate was clearly seen in the received excipient ODT tablet matrix. In a specific embodiment, the 〇DT composition described herein can be prepared by the following steps: (a) preparing a granule containing a thiophene ester (for example, a shear granulator or a fluidized bed) The coating machine is bonded to a polymer by a topiramate crystalline material having an average particle size of about 5 to 50 μm and one or more diluents/fillers (such as sugar, mannitol, microcrystalline cellulose, and mixtures thereof). The agent is granulated) or topiramate-layered beads (by dissolving topiramate in a polymer binder solution and spraying the topiramate solution onto a inert ball (eg sugar) in a fluidized bed coater Ball or cellulose ball) and using a 153421.doc -34- 201127375 protective seal coat); (b) alone with ethyl cellulose or with gastric-soluble calcium carbonate by microencapsulation technology (coagulation method) or fluidized bed coating method, or using Ethylcellulose and Eudragit £1〇〇 to mask the granules containing the sputum S by the fluidized bed coating method; (c) in a conventional a granulator using water or an alcohol-water mixture to make one or more sugars The alcohol and/or saccharide (each having an average particle size of not more than about 30 μm) is granulated with a disintegrant such as crospovidone, and the granulation is carried out in a fluidized bed apparatus or a conventional oven. Drying to produce a rapidly dispersing microgranule having an average particle size of not more than about (d); (d) masking the drug microparticles of step (b) with or - a plurality of flavoring agents, a sweetener, microcrystalline cellulose, An additional disintegrant and (iv) (e) the rapidly dispersing microgranules are blended; and (4) the blend of step (4) is pressed into an ODT composition. This compression can be accomplished using, for example, a conventional - external lubrication #, system (4)_chip machine for pre-lubricating the molds and punches. Examples of such a method of pre-sliding the mold and punch surfaces are disclosed in U.S. Patent Nos. 5,996,9G2, M25 525, and 6 Winds. All of the objects are referred to by their respective contents. Combine here. The rapidly dispersible granules described herein can be prepared by any suitable method for granulating _ or various disintegrants and/or various sugar alcohols and/or saccharides in a high shear granulator. The rapidly dispersing pellets are prepared and dried in a fluid bed apparatus or on a gas tray in a conventional supply tank to produce the rapidly dispersed pellets. It is also possible to produce rapidly dispersing microgranules by the method described in U.S. Patent Application Serial No. 1()/827'(R)6, the entire disclosure of which is hereby incorporated by reference in its entirety for all purposes: J53421. Doc • 35· 201127375 In a specific embodiment, the ODT compositions described herein can be prepared by the following: 'a blending: (a) by U.S. Patent Application Serial No. 1/827,106; 11/213,266; Topiramate-containing granules (for example, granules containing tortoises), which are masked by any of the methods described in each of the methods described in each of which is incorporated herein by reference in its entirety. (a) a rapidly dispersible microparticle prepared by the method described in U.S. Patent Application Serial No. 1/827,106; and (c) a bead of a layer of ester crystals and/or a mixture of esters; Topiramate-containing granules, rapidly dispersing granules, and other pharmaceutically acceptable ingredients (eg, a flavoring agent-a sweetener, a coloring agent, an additional disintegrant, and/or a compression aid) Blending as microcrystalline cellulose; and (d) pressing the mixture 〇dt composition. This compression step can be accomplished using a rotary tablet press equipped with an external lubrication system for lubricating the mold and the surface of the punch prior to compression. [Embodiment] EXAMPLES The embodiments of the present invention are described in more detail in the following sections with reference to examples. Use includes support. The invention is illustrated by the following examples of brewing. It is to be understood that the examples and embodiments described herein are for illustrative purposes only, and that various changes or modifications thereof are intended to be apparent to those of ordinary skill in the art and should be included And within the spirit and scope of the appended claims. Example 1 1. Pantopiate microcapsules (coating: 2% by weight) 0 kg of hexane, 8 〇〇 吼 吼 vinegar maleate, 2 〇〇 乙基 ethyl fiber 153421.doc -36 - 201127375 Compilation from Dow Chemicals _

Premium;齡100)以及 100 g聚乙_P〇lene C_10 Wax)裝 入-裝備有-螺旋槳式授拌器的5加命的罐令。將該罐加 熱至約㈣同時在15G RPMT搅拌該罐的内容物。一旦田Premium; age 100) and 100 g poly _P〇lene C_10 Wax) loaded - equipped with a propeller-type stirrer for 5 plus life. The can was heated to about (iv) while the contents of the can were stirred at 15 G RPMT. Once in the field

度達到79°C_8〇°C,使該罐經受-控制速率的冷卻。當Z 到&lt; 賣時,將形成的微膠囊進行過遽並且用新鮮的環己 炫進行清洗、並且允許在罩中進行乾燥過夜。使用相同的 步驟但是藉由使用不同量的托0比醋馬來酸鹽、乙基纖維素 以及聚乙稀,還生產了具有1〇机%和15败%乙基纖維素 包衣的托。比酯微膠囊。 1.B快速分散的微粒劑(95/5甘露醇/交聚維鲷) 在一台高剪切造粒機中使用純水作為造粒流體將d_甘露 醇(152 kg)(—具有平均粒度約15㈣的糖醇)和交聚維酮 XL-1 0(8 kg)(—崩解劑)以比率約9W進行混合並且在—流 化床乾燥器中進行乾燥從而生產快速分散的粒Z (PE278)。可替代地,可以藉由在一台加熱的對流供箱 (PE375)中的託盤上展開將該等濕粒料進行乾燥。 1X托处醋粒料的微膠囊(載藥量:85.0%)。 將經基丙基纖維素(Klucel LF, 6〇〇 g)緩慢加入一乙醇 (190pr〇〇f)-水混合物中至溶解。將具有平均粒度&lt;2〇^m 的托吡酿(1020.0 g)和含水乳糖(12〇 g)裝入GUu GpcG ^流 化床包衣機中(該流化床包衣機裝備了—頂部喷霧% 插入物「C」空氣分配板;100目產品貯留篩)並且藉由噴 霧該粘合劑溶液進行造粒。將流量(例如8_25 mL/分鐘)漸 ί®: k 153421.doc -37- 201127375 進地增加同時維持產品溫度(例如40°C)以及風量(例如40-55 CFM)。喷霧完成之後,在該Glatt裝置中將生成的粒料 進行乾燥以便驅除殘留的水分/溶劑。 按照以上實例1.A的步驟用乙基纖維素(EC-100)(用於15 wt·%的包衣)將托吡酯粒料進行掩味。 1.0托&quot;比酯001',10〇11^和20〇11^ 將來自以上實例1.A的掩味的托。比酯粒料(120 mg,等效 於每1 00 mg片劑100-mg的托η比酯)、如實例1 B中所描述製 備的快速分散的粒料(2 13 mg)、以及一預混合料(包括交聚 維酮(XL-10 :約20 mg)、微晶纖維素(來自FMC Biopolymers 的 Avicel PH101 ; 40 mg)、三氯蔗糖(約 i 4 mg)、FD&amp;C紅#7(約1.6 mg)以及薄荷香料(約4 mg))共混 3分鐘並且使用外部潤滑的13 mm的圓平半徑_邊緣沖頭^莫 具將它壓成ODT。類似地,製備了 200 mg(即,等效於2〇〇 mg托。比g旨)的ODT片劑(具有1 〇〇 mg等效的托。比酯片劑的 兩倍重量)。該等片劑顯示出符合少於3 〇秒的崩解時間規 格(當藉由USP崩解時間測試法&lt;70丨&gt; 進行測試時),並 且在30分鐘内釋放約8〇%的包含在其中的托吡酯(當在5〇 RPM的槳葉速度下在9〇〇 mL的0.1N HC1中進行溶出度測試 時)。 實例2 2.A托《比酯成層的硃粒(載藥量:45〇/〇) 將6〇-8〇目的糖球(2331 g)裝入一台Glatt GPCG 5流化床 包衣機中’該流化床包衣機裝備有一 1〇」Wu—插入 153421.doc -38- 201127375 物、16 mm管材、1英寸柱間隙、D空氣分佈板、200目的 產如貝了留4i阜尺寸i 〇 mm、喷嘴帽:沖洗。將托吼醋 (2250 g)緩慢加入一水_有機溶劑混合物中至溶解同時不斷 授摔持績30分鐘。然後將羥基丙基纖維素(Klucei ^,ι69 g)缓慢加入該相同溶液中至溶解。藉由在以下條件下喷霧 將該等糖球進行包被:霧化氣壓·· 2.5 bar;進風口溫度: 6〇°C ;產品溫度:大約45QC氣流:6〇 cfm ;流量:8 mL/min。富元成藥物成層時,將一 5 wt %的保護性密封包 衣(用Klucel LF)施用在該等托吡酯成層的珠粒上。 2.B掩味的托p比g旨珠粒 將如以上實例2.A中所描述製備的托吡酯成層的珠粒、 乙基纖維素、以及聚乙烯裝入一凝聚罐。按照以前描述的 步驟在6.25%的乙基纖維素的包衣下將該等托吡酯成層的 珠粒進行微囊化。該罐中聚乙烯含量從〇 5%至2%進行改 變以便招致相誘導劑的效應。 2.C用EC-10/EudragitEPO掩味的托吡酯 如共同未決的美國專利申請序號^/248,596(公開為US 2006/00614 A1)中所揭露,用乙基纖維素(EC-10)和 Eudragit EPO聚合物在EC-10/EPO/TEC(檸檬酸三乙酯)/滑 石的比率在40/45/5/10下將來自以上實例2.B中微囊化的珠 粒進一步包被至重量增加約15%重量,並且在該相同的流 化床包衣機中進行乾燥以驅除殘留的溶劑。按照相同的步 驟,藉由流化床包衣法用EC-10/EPO/TEC/硬脂酸鎂在 42.5/42.5/5/10的比率下將來自以上實例2.A的5 wt.%密封 153421.doc • 39· 201127375 包被的托D比自旨珠粒進行掩味至重量增加20%。The degree reached 79 ° C _ 8 ° ° C, allowing the tank to undergo a controlled rate of cooling. When Z to &lt; sold, the formed microcapsules were passed through and rinsed with fresh cyclohexene and allowed to dry overnight in the hood. The same procedure was followed but a tray having 1% machine % and 15% by weight ethylcellulose coating was also produced by using different amounts of TorrO as the vinegar maleate, ethylcellulose and polyethylene. Specific ester microcapsules. 1.B Rapidly Dispersed Microgranules (95/5 Mannitol/Crossomer) In the presence of pure water as a granulating fluid in a high shear granulator, d_mannitol (152 kg) (with average A sugar alcohol having a particle size of about 15 (four) and a crospovidone XL-1 0 (8 kg) (-disintegrant) are mixed at a ratio of about 9 W and dried in a fluidized bed drier to produce a rapidly dispersing granule Z. (PE278). Alternatively, the wet pellets can be dried by unrolling on a tray in a heated convection tank (PE375). Microcapsules of vinegar pellets at 1X tray (loading amount: 85.0%). The propyl cellulose (Klucel LF, 6 〇〇 g) was slowly added to the monoethanol (190 prf)-water mixture until dissolved. Topirab (1020.0 g) and aqueous lactose (12 〇g) having an average particle size &lt; 2〇^m were charged into a GUu GpcG ^ fluidized bed coater (the fluidized bed coater was equipped - top) Spray % insert "C" air distribution plate; 100 mesh product storage screen) and granulate by spraying the binder solution. Increasing the flow rate (eg 8_25 mL/min): k 153421.doc -37- 201127375 Increase the feed while maintaining the product temperature (eg 40 ° C) and the air volume (eg 40-55 CFM). After the spraying is completed, the resulting pellets are dried in the Glatt apparatus to drive off residual moisture/solvent. Topiramate pellets were taste masked with ethylcellulose (EC-100) (for 15 wt.% coating) according to the procedure of Example 1.A above. 1.0 Torr&quot; than esters 001', 10〇11^ and 20〇11^ will be from the masking of the above example 1.A. Specific ester pellets (120 mg, equivalent to 100-mg of tropidin ester per 100 mg tablet), fast-dispersing pellets (2 13 mg) prepared as described in Example 1 B, and a pre-preparation Mixture (including crospovidone (XL-10: about 20 mg), microcrystalline cellulose (Avicel PH101 from FMC Biopolymers; 40 mg), sucralose (about i 4 mg), FD&C Red #7 (about 1.6 mg) and mint flavor (about 4 mg) were blended for 3 minutes and pressed to ODT using an externally lubricated 13 mm round flat radius _ edge punch. Similarly, an ODT tablet (having an equivalent of 1 〇〇 mg equivalent to twice the weight of the ester tablet) of 200 mg (i.e., equivalent to 2 〇〇 mg Torr.) was prepared. The tablets showed a disintegration time specification of less than 3 sec (when tested by the USP Disintegration Time Test &lt;70 丨&gt;) and released about 8% in 30 minutes. Topiramate therein (when the dissolution test was performed in 9 〇〇 mL of 0.1 N HCl at a blade speed of 5 〇 RPM). Example 2 2.A tray "Zhu grain layered with ester (loading capacity: 45 〇 / 〇)) 6 -8 -8 sugar balls (2331 g) were placed in a Glatt GPCG 5 fluidized bed coater 'The fluidized bed coating machine is equipped with a 1"Wu-insert 153421.doc -38- 201127375, 16 mm pipe, 1 inch column gap, D air distribution plate, 200 mesh production, such as the shell, 4i, size i 〇mm, nozzle cap: rinse. The vinegar (2250 g) was slowly added to the water-organic solvent mixture until it dissolved and the performance was continued for 30 minutes. Hydroxypropyl cellulose (Klucei^, i69 g) was then slowly added to the same solution until dissolved. The sugar spheres were coated by spraying under the following conditions: atomization gas pressure · 2.5 bar; air inlet temperature: 6 〇 ° C; product temperature: about 45 QC gas flow: 6 〇 cfm; flow rate: 8 mL / Min. When the Fuyuancheng drug layered, a 5 wt% protective seal coat (using Klucel LF) was applied to the topiramate layered beads. 2. B. Taste-to-paste ratio g beads The topiramate layered beads, ethyl cellulose, and polyethylene prepared as described in Example 2.A above were charged to a coagulation tank. The topiramate layered beads were microencapsulated under the coating of 6.25% ethylcellulose according to the procedure previously described. The polyethylene content of the tank was varied from 〇 5% to 2% in order to induce the effect of the phase inducer. 2.C Topiramate which is taste-masked with EC-10/EudragitEPO, as disclosed in the copending U.S. Patent Application Serial No. 248,596, issued to U.S. Patent Application Serial No. The polymer was further coated to a weight increase in the ratio of EC-10/EPO/TEC (triethyl citrate) / talc at 40/45/5/10 from the microencapsulated beads from Example 2.B above. About 15% by weight and dried in the same fluid bed coater to drive off residual solvent. According to the same procedure, the 5 wt.% seal from the above example 2.A was sealed by fluid bed coating with EC-10/EPO/TEC/magnesium stearate at a ratio of 42.5/42.5/5/10. 153421.doc • 39· 201127375 The coated tray D is taste-masked to 20% weight increase from the purpose of the beads.

2. D掩味珠粒的的托吡酯ODT 將來自以上實例2.C在6.25% EC-100隨後是15°/。EC-10/EPO的包衣下的掩味的托吡酯珠粒、如以上實例1 .B中 所揭露製備的快速分散的微粒劑、交聚維酮(約5%)、微晶 纖維素(7%-10。/〇重量)、三氣蔗糖(〇·35 wt.%)、薄荷調味 劑(0.7%)、以及 FD&amp;C 紅 #27(0.2%)、以及 FD&amp;C 藍 # 1 (0.1 5%重量)在一 V型混合器中共混1 5分鐘並且如以上實 例1.D中所描述壓成〇DT(25、50、100、以及200 mg托吡 酯等效物)。按照相同的步驟,將來自以上實例2.c的20% EC-10/EPO包被的托吡酯珠粒壓成〇dt(具有25、50、 1 00、以及200爪吕托°比酯等效物的劑量強度)。 實例3 3. A在Granurex中製造的掩味的托吡酯球粒 將聚維酮(PVP K-30)緩慢地加入純水中同時不斷地授拌 以便I備一聚合物柏合劑溶液(1 0% w/w固體將微粉化 的托η比醋物質與膠體矽(基於托吡酯的重量〇 5%)( 一助流 劑),Cab-0-Sil Μ_5Ρ(來自Cab〇t公司)以及聚維酮在一 ν 形混合器中進行共混並且裝入一台來自Vect〇r公司(愛荷 華州、美國)的Granurex GX-40的產物缽中。以控制的速率 將10%PVP粘合劑溶液喷入該旋轉的料床中。在形成球粒 期間優化的參數包括-工藝風溫··約19〇c_2〇 ,座物溫 度:16°C ± 2。(:;轉子速度:425 RPM ;外部空氣供給: 15〇 L/min;噴霧速率:15 RpM(約8 mL/min);橫過縫隙 153421.doc •40- 201127375 壓=下降:u·11 mm水柱;以及在乾燥球粒期間-工藝用 風量:30 CFM;工藝風溫:約6〇t ;產物溫度:坑(至 停止乾燥广轉子速度:18〇 RPM ;狹縫風量:i〇 CFM ; 夺間4〇 min。如此製備的球粒具有約65%的顆粒在 50-100目的大小範圍内。 3 ·Β藉由相分離掩味的托啦酯 在一 5加侖的凝聚罐中,將按照以上實例3A的步驟製備 的具有85 wt.%的載藥量和5%的密封包衣(用〇padry⑧ White II)的托吡酯球粒、乙基纖維素、以及Ερ〇ι⑶e 懸浮在環己烷中,並且如以前所揭露在15 wt %包衣下生 產了微膠囊。使用一類似於實例i A的步驟,藉由將來自 以上實例3.A的托吡酯球粒懸浮在乙基纖維素和埃波綸 (Epolene)中還製備了具有13 wt.%包衣的微膠囊。使用一 類似於實例1_A的步驟還製備了具有17 wt %包衣的微膠 囊0 3.C用EC-10/EPO掩味的托吡酯 按照以上實例2.C中所描述的步驟,在Glatt GPCG 5中用 乙基纖維素(EC-10)和 Eudragit EPO在 EC-10/EPO/TEC/硬脂 酸鎂在42.5/42.5/5/10的比率下(用於25 wt.%的包衣)將按照 以上實例3.A的步驟製備的具有85 wt.%的載藥量和5%的密 封包衣(用Opadry® Pink)的托°比酯IR球粒()進行包被。2. The Topiramate ODT of the D-masked beads will be from Example 2.C above at 6.25% EC-100 followed by 15°/. Taste-masked topiramate beads under coating of EC-10/EPO, rapidly dispersible microgranules prepared as disclosed in Example 1.B above, crospovidone (about 5%), microcrystalline cellulose (7) %-10./〇 weight), three-gas sucrose (〇·35 wt.%), mint flavoring (0.7%), and FD&amp;C Red #27 (0.2%), and FD&amp;C Blue# 1 (0.1 5% by weight) was blended in a V-blender for 15 minutes and pressed into 〇DT (25, 50, 100, and 200 mg topiramate equivalents) as described in Example 1.D above. Following the same procedure, the 20% EC-10/EPO coated topiramate beads from Example 2.c above were pressed to 〇dt (with 25, 50, 100, and 200 Claws ratio ester equivalents) Dose strength). Example 3 3. A taste-masked topiramate pellet manufactured in Granurex. Povidone (PVP K-30) was slowly added to pure water while continuously mixing to prepare a polymer mixture solution (10%). The w/w solids will be micronized with a mixture of vinegar and colloidal hydrazine (based on the weight of topiramate 〇 5%) (a glidant), Cab-0-Sil Μ _5 Ρ (from Cab〇t) and povidone in one Blend in a ν-shaped mixer and load into a product of Granurex GX-40 from Vect〇r (Iowa, USA). Spray 10% PVP binder solution at a controlled rate In the rotating bed, the parameters optimized during the formation of the pellet include - process air temperature · about 19 〇 c 2 〇, seat temperature: 16 ° C ± 2. (:; rotor speed: 425 RPM; external air supply : 15 〇 L / min; spray rate: 15 RpM (about 8 mL / min); across the gap 153421.doc • 40- 201127375 pressure = drop: u · 11 mm water column; and during dry pellets - process air volume : 30 CFM; process air temperature: about 6 〇 t; product temperature: pit (to stop drying wide rotor speed: 18 〇 RPM; slit air volume: i 〇 CFM; 4〇min. The pellets thus prepared have about 65% of the particles in the size range of 50-100 mesh. 3 · The toluene ester which is deodorized by phase separation in a 5 gallon coagulation tank will follow the above The topiramate pellets, ethylcellulose, and Ερ〇ι(3)e prepared by the procedure of Example 3A having a drug loading of 85 wt.% and a 5% seal coat (with padry 8 White II) were suspended in cyclohexane. And microcapsules were produced under a 15 wt% coating as previously disclosed. Using a procedure similar to that of Example i A, the topiramate pellets from Example 3.A above were suspended in ethylcellulose and Eplon. Microcapsules with a coating of 13 wt.% were also prepared in (Epolene). Microcapsules with a coating of 17 wt% were also prepared using a procedure similar to that of Example 1-1 A. 3. C. Taste with EC-10/EPO Topiramate according to the procedure described in Example 2.C above, using ethylcellulose (EC-10) and Eudragit EPO in Glatt GPCG 5 at EC-10/EPO/TEC/magnesium stearate at 42.5/42.5/ A ratio of 5/10 (for 25 wt.% of the coating) will be prepared according to the procedure of Example 3.A above with a drug loading of 85 wt.% and a density of 5%. The coating (coated with Opadry® Pink) was coated with an ester IR pellet ().

3.D掩味的Granurex球粒的托&quot;比酯ODT 如以上實例2.D中所描述,將所要求量的掩味的托吡酿 球粒(一份)、快速分散的微粒劑(二份)、交聚維酮(5。/〇重 153421.doc •41 - 201127375 量)、微晶纖維素(1 〇 wt_%)、薄荷調味劑(0·6%重量)、以 及二氯蔗糖(0.35%重量)進行共混並且壓成〇DT(25-mg、3.D-masked Granurex pellets&quot; than ester ODTs as described in Example 2.D above, the desired amount of taste-masked topiramate pellets (one part), rapidly dispersed microparticles ( Two parts), crospovidone (5. / 〇 weight 153421.doc • 41 - 201127375 amount), microcrystalline cellulose (1 〇wt_%), mint flavoring (0.66% by weight), and sucralose (0.35% by weight) was blended and pressed into 〇DT (25-mg,

5 0-mg、i〇〇_mg、以及2〇〇_mg)。藉由將該壓縮力從約5 kN 至16 kN進行變化,將裝備有一真空輸送系統、可應用的 工具(圓的、平面半徑邊緣)、藥片除塵器、一金屬探測 器、以及一外部潤滑Matsui ExLube系統的一台Hata生產型 壓片機進行調節從而提供多個片劑,該等片劑具小於〇5% 的脆性以及足夠的硬度值。使用硬脂酸鎂作為加工助劑以 便在外部潤滑該等沖頭和模具的表面,並且因此硬脂酸鎂 可以以痕量的量存在於在該等片劑之上。各強度的重量範 圍典型地是該相應的目標片劑重量的約+ 5%。當該壓片機 正在運行時,啟動該ExLube系統以便確保該潤滑劑正確地 喷霧。在該壓片機上對製錠參數如填充深度(匪)、預先壓 縮位置(mm或kN)以及主要壓縮位置(mm或kN)進行調節以 便生產各強度符合設置規格的片齊,卜按照該成功的設置, 該壓片機在「自動模式」下運行直至完成。在運行期間, 定期地對該等片劑進行取樣以確保它們符合適當的加工中 的規格。 實例4 4.A苯丁胺微膠囊 按照以上實例KA中所揭露的步驟用在環己烷中的乙基 纖維素…苯丁胺顆粒進行微囊化至重量增加1〇5 0-mg, i〇〇_mg, and 2〇〇_mg). By varying the compression force from approximately 5 kN to 16 kN, it will be equipped with a vacuum delivery system, applicable tools (round, plane radius edge), tablet dust collector, a metal detector, and an external lubrication Matsui A Hata production tablet press of the ExLube system is conditioned to provide a plurality of tablets having a brittleness of less than 5% and a sufficient hardness value. Magnesium stearate is used as a processing aid to externally lubricate the surfaces of the punches and dies, and thus magnesium stearate can be present on the tablets in trace amounts. The weight range for each strength is typically about +5% of the weight of the corresponding target tablet. When the tablet press is running, the ExLube system is activated to ensure that the lubricant is properly sprayed. On the tablet press, the ingot parameters such as the filling depth (匪), the pre-compression position (mm or kN), and the main compression position (mm or kN) are adjusted to produce a piece of each strength that meets the set specifications, according to the With successful setup, the tablet press runs in "automatic mode" until it is completed. During the run, the tablets are periodically sampled to ensure they meet the appropriate processing specifications. Example 4 4.A phentermine microcapsules The ethylcellulose phentermine particles in cyclohexane were microencapsulated to a weight increase of 1 按照 according to the procedure disclosed in Example KA above.

Wt.%、15败%、以及2〇败%。使用適當的筛子對乾燥的 微膠囊進行分t帛以便棄去尺寸過大的顆粒。 153421.doc •42- 201127375 4.B維生素B-12粒料 如實例1.C中所揭露,在Glatt GpcG 3中藉由喷霧一種經 丙基纖維素((4% Khice LF)溶液將維生素b_12(3〇 wt%)、 甘露醇(6G Wt.%)、交聚維酮(5%)以及任選地薄荷調味劑 (1%)進行造粒。 4.C納曲酮掩味 如以上貫例4.B中所揭露,在Glatt 3中藉由喷霧一 Klucel LF(5 Λ經丙基纖維素)的溶液將鹽酸納曲鲷(1 5 %重量)、甘 露醇(78.4%)、交聚維酮以及任選地三氯蔗糖(〇6%)以及櫻 桃調味劑(1%)進行造粒。 4.D昂丹司瓊掩味 按照以上實例1.Α中所揭露的步驟用環己烷中的乙基纖 維素將鹽酸昂丹司瓊顆粒進行微囊化至重量增加1〇 wt·%。將乾爍的微膠囊進行分篩以便棄去尺寸過大的顆 粒。Wt.%, 15% lost, and 2% lost. The dried microcapsules are divided by a suitable sieve to discard oversized particles. 153421.doc •42- 201127375 4.B Vitamin B-12 pellets As disclosed in Example 1.C, a vitamin in propylcellulose ((4% Khice LF) solution is sprayed in Glatt GpcG 3 B_12 (3〇wt%), mannitol (6G Wt.%), crospovidone (5%) and optionally mint flavoring (1%) for granulation. 4.C naltrexone tastes as above As disclosed in Example 4.B, in a Glatt 3 solution, a solution of Klucel LF (5 Λ propylcellulose) was sprayed with naltrex hydrochloride (15 % by weight) and mannitol (78.4%). Granulation with crospovidone and optionally sucralose (〇6%) and cherry flavoring (1%) 4.D Ondansetron taste masking according to the procedure disclosed in Example 1. Ethylcellulose in Hexane The ondansetron hydrochloride particles were microencapsulated to a weight gain of 1% by weight. The dried microcapsules were sieved to discard oversized particles.

4.E托吡酯/鹽酸苯丁胺/維生素b-12〇DT 將基於S玄測定的所要求量的掩味的托π比g旨、掩味的笨丁 胺微膠囊、維生素B-12(氰鈷胺素)粒料、快速分散的微粒 劑(相對於一份掩味的(托°比酯+苯丁胺+B-12)至少2份)、微 晶纖維素(10% Avicel PH101)、交聚維酮(5%)、三氣蔗糖 (0.5 %)、以及楼桃§周味劑(〇 · 8 %) ·一起進行共混至達到均勻 並且壓成ODT,該等ODT包括15 mg的托》比醋、15 mg鹽酸 苯丁胺、以及1 mg維生素B-12或30 mg的托吡酯、30 mg苯 丁胺、以及1 mg維生素B-12。如此生產的片劑被發現在口 153421.doc -43· 201127375 腔中迅速崩解形成一光滑的易於吞咽的懸浮液,並且當攝 取時迅速釋放的藥物生物等效/生物相似於Τ〇Ρ〇ΜΑΧ(25 或50 mg托吡酯)和/或37.5 mg苯丁胺。4.E topiramate / phentermine hydrochloride / vitamin b-12 〇 DT will be based on the required amount of taste masking π π ratio, taste-masked butyl amine microcapsules, vitamin B-12 (cyanide Cobalamin) pellets, rapidly dispersing microgranules (at least 2 parts relative to a taste-masked (toluene ester + phentermine + B-12)), microcrystalline cellulose (10% Avicel PH101), Crospovidone (5%), tris-sucrose (0.5%), and Loutao § Zhouwei (〇·8 %) • blended together to achieve uniformity and compression into ODT, including 15 mg托" is more than vinegar, 15 mg of phentermine hydrochloride, and 1 mg of vitamin B-12 or 30 mg of topiramate, 30 mg of phentermine, and 1 mg of vitamin B-12. The tablets thus produced were found to rapidly disintegrate in the cavity of 153421.doc -43·201127375 to form a smooth, easy-to-swallow suspension, and the drug that is rapidly released when ingested is bioequivalent/biosimilar to Τ〇Ρ〇 ΜΑΧ (25 or 50 mg topiramate) and / or 37.5 mg phentermine.

4.F托吡酯/昂丹司瓊/鹽酸納曲酮〇DT 將所要求量的掩味的托吡酯、掩味的昂丹司瓊珠粒、掩 味的納曲酮粒料、快速分散的微粒劑(相對於一份掩味的 (托。比醋+昂丹司瓊+納曲酮)2份)、微晶纖維素(丨〇% Avicel PH101)、交聚維酮(5%)、三氣蔗糖(〇.5%)、以及櫻桃調味 劑(0·7°/〇) —起進行共混至達到共混物均勻並且壓成〇dt, 該等ODT包括25 mg的托吡酯、4 mg昂丹司瓊、以及1 mg 納曲酮或50 mg的托吡酯、4 mg昂丹司瓊、以及0.5 mg納 曲酮。如此生產的片劑被發現在口腔中迅速崩解形成一光 滑的易於吞咽的懸浮液,並且當攝取時迅速釋放的藥物生 物等效/生物相似於T〇P〇MAX(25或50 mg托吡酯)和/或樞 複寧(4 mg昂丹司瓊)。 雖然本發明已經與某些在此說明的實施方式相結合進行 了描述’應當理解的是本申請和隨附的申請專利範圍旨在 涵蓋一般而言按照本發明的原理並且包括例如來自本發明 涉及領域的已知的或常規的實踐内以及例如可以用於在此 提出的基本特徵以及如下所附申請專利範圍的範圍内的這 樣的本揭露的偏離對本發明的不同實施方式的任何變化、 用途、變更、等效物或改編。 153421.doc • 44 -4.F topiramate/ondansetron/naltrexone hydrochloride DT The desired amount of taste-masked topiramate, taste-masked ondansetron beads, taste-masked naltrexone pellets, rapidly dispersing microgranules (relative to a taste-masking (t. vinegar + ondansetron + naltrexone) 2 parts), microcrystalline cellulose (丨〇% Avicel PH101), crospovidone (5%), three gas Sucrose (〇.5%), and cherry flavoring (0·7°/〇) were blended until the blend was homogeneous and pressed into 〇dt, which included 25 mg of topiramate, 4 mg of Ondan Siqiong, and 1 mg naltrexone or 50 mg topiramate, 4 mg ondansetron, and 0.5 mg naltrexone. The tablets thus produced are found to rapidly disintegrate in the oral cavity to form a smooth, easy-to-swallow suspension, and the drug that is rapidly released upon ingestion is bioequivalent/biosimilar to T〇P〇MAX (25 or 50 mg topiramate). And / or Acacia (4 mg ondansetron). The present invention has been described in connection with certain embodiments described herein. It is to be understood that the scope of the application and the accompanying claims are intended to Such variations and uses of the various embodiments of the present invention are within the scope of the present invention, and the scope of the present disclosure, as well as the scope of the present disclosure. Change, equivalent or adaptation. 153421.doc • 44 -

Claims (1)

201127375 七、申請專利範圍·· 1· 一種掩味的藥物組八 、Q物’該組合物包括一治療有效量的 掩味之氨基續酸SI你&amp; 杉 義取代的單糖顆粒,該等顆粒包括一種 # 土“义皿取代的單糖或其-藥學上可接受的鹽或衍生 ^〆八t所述顆粒係用—或多個掩味層包被的以便掩蓋 /氨基A鹽取代的單糖的味道;其中所述—或多個掩 味層包含至少-種不溶于水之聚合物。 崩解片’包括:⑴如中請專利範圍第1項所述 之掩味的藥物組合物,以及⑺快速分散的微粒劑,該等 I·夬速刀政之微粒劑包括至少一種崩解劑以及至少一種糖 醇和/或至少一種糖類。 3·女申1專利|巳圍第2項所述之口腔崩解片’該口腔崩解 片在給藥于患者的σ腔中後約的秒内在患者的口腔令基 本上崩解。 4. 如申哨專利範圍第2項所述之口腔崩解片’當藉由usp &lt;7〇1&gt;崩解試驗進行測試時,該口腔崩解片在約%秒内 基本上崩解。 5. 如申明專利範圍第丨項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片,其中當使用美國 藥典裝置2槳葉在50 rpm下在9〇〇 mL^〇 j N Hci中進行 溶出度測試時在約30分鐘内約7〇%或更多的所述氨基磺 酸鹽取代的單糖或其藥學上可接受的鹽或衍生物從所述 顆粒中釋放。 6 ·如申請專利範圍第丨項所述之掩味的藥物組合物或如申 15342I.doc 201127375 請專利範圍第2項所述之口腔崩解片,其中所述氨基磺 酸鹽取代的單糖或其一藥學上可接受之鹽或衍生物係托 吼醋或其一藥學上可接受之鹽或衍生物。 7. 如申請專利範圍第1項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片藥物組合物,其中 所述氨基磺酸鹽取代的單糖或其一藥學上可接受的鹽或 衍生物係托吡酯,所述顆粒具有約U00 0以的平均粒 度,並且該等掩味的托吡酯顆粒具有4〇〇 μπι或更小的平 均粒度。 8. 如申請專利範圍第丨項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片,其中所述顆粒係 晶體、微粒劑或藥物成層的珠粒,該等珠粒包括一用所 述氨基磺酸鹽取代的單糖或其一藥學上可接受的鹽或衍 生物包被的惰性芯以及一聚合物粘合劑。 9. 如申請專利範圍第丨項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片,其中所述掩味層 進一步包含一水溶性、胃溶性、或腸溶性的成孔劑。 1 〇 ·如申請專利範圍第丨項所述之掩味的藥物組合物或如申 請專利範圍2所述之口腔崩解片,包括wt%至約7〇 Wt%的所述掩味的氨基磺酸鹽取代的單糖顆粒。 11.如申請專利範圍第丨項所述之掩味的藥物絚合物或如申 請專利範圍第2項所述之口腔崩解片,其中該等掩味的 氨基磺酸鹽取代的單糠顆粒進一步包括一保護性密封包 衣,該保護性密封包衣包括一數量為從約i wt%至約% 153421.doc 201127375 wt%的所述顆粒之親水性聚合物。 12·如申明專利範圍第1項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片,|中所述不溶于 水的聚合Μ自下組’其組成為··乙基纖維素、醋酸纖 維素、醋酸丁酸纖維素、聚乙酸乙烯酯、中性甲基丙烯 τ ㈣共聚物、季胺基甲基丙烯酸s旨共聚物及其混合物。 13. 如申請專利範圍第丨項所述之掩味的藥物組合物或如申 凊專利範圍第2項所述之口腔崩解片,其中所述掩味層 進一步包括一水溶性成孔劑,該水溶性成孔劑選自下 組,其組成為:聚維酮、乳糖、氯化鈉、蔗糖、甲基纖 維素、羥丙基纖維素、羥丙基曱基纖維素、聚乙二醇、 及其混合物。 14. 如申請專利範圍第1項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片,其中所述掩味層 進—步包括一胃溶性成孔劑,該胃溶性成孔劑選自下 組’其組成為:碳酸鈣、氧化鎂、甲基丙烯酸氨基烷基 醋共聚物、聚乙烯乙縮醛二乙氨基乙酯、及其混合物。 • 1 5.如申請專利範圍第1項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片,其中所述掩味層 進一步包括一腸溶性成孔劑,該腸溶性成孔劑選自下 組’其組成為:乙酸鄰苯二甲酸纖維素、羥丙甲纖維素 鄰苯二曱酸酯、Eudragit® L100或S100、及其混合物。 16.如申請專利範圍第9項所述之掩味的藥物組合物或口腔 崩解片,其中該不溶于水的掩味聚合物與一水溶性、胃 153421.doc 201127375 溶性、或腸溶性成孔劑進行組合,具有不溶于水的聚合 κ /谷(生、月浴性、或腸溶性成孔劑的比率範圍從約 90/10至約 50/50。 17.如申請專利範圍第丨項所述之掩味的藥物組合物或如申 請專利範圍第2項所述之口腔崩解片,其中該不溶于水 的聚合物係乙基織維素,當在約23。。下作為一 5㈣的 溶液進行測試時該乙基纖維素具有約1〇_1〇〇 op的粘 度。 18· 如申凊專利範圍第2項所述之口腔崩解片,其申該至少 一種崩解劑和至少一種糖醇和/或至少一種糖類係以糖醇 和/或糖類對崩解劑的比率為從約90/1〇至約99/ι而存在 的。 19. 二申請專利範圍第2項所述之口腔崩解片,其令該崩解 選自下、、且’其組成為:交聚維鲷、澱粉乙醇酸鈉、交 聯缓甲基纖維素納、低取代㈣基纖維素及其混合物。 20. 如申請專利範圍第2項所述之口腔崩解片,其中該糖醇 和/或糖類選自下組,其組成為:甘露醇、木糖醇、山梨 糖醇、麥芽糖醇、乳糖、嚴糖 '麥芽糖及其混合物。 申叫專利範圍第1項所述之掩味的藥物組合物或如申 料利範圍2所述之口腔崩解片,進—步包括掩味的包 含樂物之顆粒,該等顆粒包括一苯丙胺和/或苯乙胺類的 食欲抑制劑。 22·”請專利範㈣21項所述之掩味㈣物組合物或口腔 朋解片,進—步包括掩味之顆粒,該等顆粒包括維生素 153421.doc 201127375 B-12。 23.如申請專利範圍第22項所述之掩味的藥物組合物或口腔 崩解片,包括一有效量的所述掩味之顆粒,該等顆粒包 括托°比酯、笨丁胺、以及維生素丨2。 24. 如申請專利範圍第丨項所述之掩味的藥物組合物或如申 請專利範圍2所述之口腔崩解片,進一步包括掩味之顆 粒,該等顆粒包括一5_Ht3受體拮抗劑。 25. 如申明專利範圍第24項所述之掩味的藥物組合物或口腔 崩解片’進-步包括掩味之微顆粒,該等微顆粒包括— 阿片樣物質受體拮抗劑。 26. 27. =申凊專利範圍第25項所述之掩味的藥物組合物或口腔 崩解片包括-有效置的所述掩味之微顆粒,該微顆粒 包括用於治療酒精中毒或藥物成瘾的托•比S旨、-5-ht3 f體括抗劑、以及—阿片樣物質受體拮抗劑,其中所述 - 5-HT3党體拮抗劑係昂丹司瓊或其一藥學上可接受的 鹽並且所述阿片樣物質受體拮抗劑係納曲酮。 、衣備如申靖專利範圍第2項所述之口腔崩解片之方 、製備所述顆粒’該等顆粒包括氨基姐鹽取代的單糖 或其一藥學上可接受的鹽或衍生物; 賴述1多個掩味層包被料顆粒從㈣成所述掩 11的氰基續醆鹽取代的單糖顆粒; 分味的氨基項酸鹽取代的單糖顆粒與所述快速 散的微粒劍以及任選地-或多種藥學上可接受的賦形 I53421.doc 201127375 劑進行混合;並且 將該混合物進行壓縮從而形成所述口腔崩解 28. 如申請專利範圍第27項所述之方法,立 。 包括: ’、丨製備所述顆粒 將一種氨基磺酸鹽取代的單糖或其一藥學上。一 鹽或衍生物以及一粘合劑溶解在一藥學二;彳:接受的 甲從而形成-種氨基績酸鹽取代的單糖溶液;接又的溶劑 將該氨基磺酸鹽取代的單糖溶液包被到情. 並且 〜上’ 將該藥學上可接受的溶劑蒸發從而形成所述微顆粒 29. 如申請專利範圍第28項所述之才。 粒進-步包括: ,'中I備所述微顆 越::種氨基項酸鹽取代的單糖或其-藥學上可接受的 多種聚合物枯合劑進行造粒從而开接f:的填充劑以及一或 拉仅而形成所述微顆粒。 30. 如申請專利範圍第27 法。 之方法,其令包被包括凝聚 其中包被包括流化 31. 如申請專利範圍第27項所述之方法 床包衣法。 32二申=範圍第27項所述之方法,其中所述壓縮係使 預一先=壓片機完成的’該旋㈣片機裝備有-用於 預先潤滑模具和沖頭之外部潤滑系統。 33.如申請專利範圍苐2項所述之口腔崩解片,進一步包括 一或多種藥學上可接受的賦形劑,該等賦形劑包括一調 I53421.doc 201127375 味劑和/或一增甜劑。 34. 一種治療患有部分性發作或原發性全身性強直-陣攣性癲 癇發作、與Lennox-Gastaut綜合征相關的癲癎發作、和/ ,吞咽困難的患者之方法,該方法包括對該患者施用一 Π上有效量的如申請專利範圍第2項所述之口腔崩解 153421.doc 201127375 四、指定代表圖: (一) 本案指定代表圖為:(無) (二) 本代表圖之元件符號簡單說明: 五、本案若有化學式時,請揭示最能顯示發明特徵的化學式:201127375 VII. Scope of Patent Application··1· A taste-masking drug group VIII, Q substance' The composition includes a therapeutically effective amount of taste-masking amino acid SU, you & suiyi-substituted monosaccharide granules, such The granules comprise a #土"-receiving monosaccharide or a pharmaceutically acceptable salt thereof or a derivative of the granules coated with - or a plurality of taste-masking layers for masking/amino-A salt substitution The taste of the monosaccharide; wherein the one or more taste masking layers comprise at least one water-insoluble polymer. The disintegrating tablet comprises: (1) a taste-masking pharmaceutical composition as described in claim 1 of the patent application. And (7) rapidly dispersing microgranules, the I. Isophoric microgranules comprising at least one disintegrant and at least one sugar alcohol and/or at least one saccharide. 3. Female patent 1 | The orally disintegrating tablet 'the orally disintegrating tablet is substantially disintegrated in the oral cavity of the patient within about seconds after administration to the sigma cavity of the patient. 4. Oral disintegration as described in claim 2 of the whistle patent scope The film 'when tested by the usp &lt;7〇1&gt; disintegration test, the mouth The disintegrating tablet substantially disintegrates in about % seconds. 5. The taste-masking pharmaceutical composition according to the invention of claim 2, or the orally disintegrating tablet according to claim 2, wherein US Pharmacopoeia Device 2 paddles at a 50 rpm dissolution test in 9 〇〇 mL 〇 j N Hci, about 7 〇 % or more of the sulfamate-substituted monosaccharide or in about 30 minutes A pharmaceutically acceptable salt or derivative thereof is released from the granules. 6 - A taste-masking pharmaceutical composition as described in the scope of the application of the patent application or as claimed in claim 2, claim No. 15342I.doc 201127375 Orally disintegrating tablet, wherein the sulfamate-substituted monosaccharide or a pharmaceutically acceptable salt or derivative thereof is a vinegar or a pharmaceutically acceptable salt or derivative thereof. The taste-masking pharmaceutical composition according to the above aspect of the invention, wherein the sulfamate-substituted monosaccharide or a pharmaceutically acceptable composition thereof The salt or derivative that is accepted is topiramate, and the particles have a U00 0 The average particle size, and the taste-masked topiramate particles have an average particle size of 4 μm or less. 8. The taste-masking pharmaceutical composition as described in the scope of the patent application or as claimed in claim 2 Orally disintegrating tablet, wherein the particles are crystals, microgranules or drug-coated beads, the beads comprising a monosaccharide substituted with the sulfamate or a pharmaceutically acceptable salt thereof or A derivative coated inert core and a polymeric binder. 9. The taste-masking pharmaceutical composition of claim 2 or the orally disintegrating tablet of claim 2, wherein The taste masking layer further comprises a water soluble, gastric soluble, or enteric porogen. 1 〇 药物 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 掩 药物 药物 药物 药物 药物 药物 药物 药物 药物 药物 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔 口腔Acid-substituted monosaccharide particles. 11. The taste-masking drug composition of the invention of claim 2, or the orally disintegrating tablet of claim 2, wherein the taste-masked sulfamate-substituted monoterpene particles Further included is a protective seal coat comprising a hydrophilic polymer in an amount from about i wt% to about 153421.doc 201127375 wt% of said particles. 12. The taste-masking pharmaceutical composition according to claim 1 of the patent scope or the orally disintegrating tablet according to claim 2, wherein the water-insoluble polymerized oxime is from the group of the group Ethyl cellulose, cellulose acetate, cellulose acetate butyrate, polyvinyl acetate, neutral methacryl τ (tetra) copolymer, quaternary amino methacrylic acid s copolymer, and mixtures thereof. 13. The taste-masking pharmaceutical composition of the invention of claim 2, wherein the taste-masking layer further comprises a water-soluble pore-forming agent, The water-soluble pore-forming agent is selected from the group consisting of: povidone, lactose, sodium chloride, sucrose, methyl cellulose, hydroxypropyl cellulose, hydroxypropyl fluorenyl cellulose, polyethylene glycol , and mixtures thereof. 14. The taste-masking pharmaceutical composition of claim 1, or the orally disintegrating tablet of claim 2, wherein the taste-masking layer further comprises a gastric-soluble porogen The gastric-soluble porogen is selected from the group consisting of calcium carbonate, magnesium oxide, aminoalkyl methacrylate copolymer, polyethylene acetal diethylaminoethyl ester, and mixtures thereof. The ointment-masking pharmaceutical composition according to claim 1, wherein the taste-masking layer further comprises an enteric pore former. The enteric pore former is selected from the group consisting of cellulose acetate phthalate, hypromellose phthalate, Eudragit® L100 or S100, and mixtures thereof. 16. The taste-masking pharmaceutical composition or orally disintegrating tablet according to claim 9, wherein the water-insoluble taste-masking polymer is soluble or enteric in a water-soluble, stomach 153421.doc 201127375. The porogen is combined to have a ratio of water-insoluble polymeric κ/Valley (raw, lunar, or enteric porogen ranging from about 90/10 to about 50/50. The taste-masking pharmaceutical composition or the orally disintegrating tablet according to claim 2, wherein the water-insoluble polymer is ethyl oryzanol, when it is about 5 (four) The ethylcellulose has a viscosity of about 1 〇 1 〇〇 op when tested. The orally disintegrating tablet of claim 2, wherein the at least one disintegrating agent is at least A sugar alcohol and/or at least one saccharide is present in a ratio of sugar alcohol and/or saccharide to disintegrant of from about 90/1 Torr to about 99 Å. 19. The oral cavity of claim 2 a disintegrating tablet, which causes the disintegration to be selected from the group below, and the composition thereof is: cross-polymerization Orally disintegrating tablets according to claim 2, wherein the sugar alcohol and/or sugar are selected from the group consisting of sodium glycolate, cross-linked slow-methylcellulose, low-substituted (tetra)-based cellulose, and mixtures thereof. a composition comprising: mannitol, xylitol, sorbitol, maltitol, lactose, sucrose, maltose, and a mixture thereof. The taste-masking pharmaceutical composition described in claim 1 or as claimed The orally disintegrating tablet according to the invention of claim 2, further comprising a taste-masking granule comprising a music substance, the granule comprising an amphetamine and/or a phenethylamine appetite suppressant. 22·”Please patent (4) 21 items The taste-masking (four) composition or the oral cavity tablet, further comprising a taste-masking granule comprising vitamin 153421.doc 201127375 B-12. 23. Covering as described in claim 22 A medicinal composition or an orally disintegrating tablet comprising an effective amount of said taste-masking granules, such as tropine ester, acetophenamide, and vitamin oxime 2. 24. The taste-masking pharmaceutical composition or application The orally disintegrating tablet of claim 2, further comprising a taste-masking granule comprising a 5-Ht3 receptor antagonist. 25. The taste-masking pharmaceutical composition or oral cavity rupture according to claim 24 of the patent application. The tablet further comprises a taste-masking microparticle comprising: an opioid receptor antagonist. 26. 27. A taste-masked pharmaceutical composition or oral cavity as claimed in claim 25. The disintegrating tablet comprises - the taste-masking microparticles which are effectively disposed, the microparticles comprising a Toby S, a -5-ht3 f anti-reagent, and an opioid for treating alcoholism or drug addiction A substance receptor antagonist, wherein the 5-HT3 party antagonist is ondansetron or a pharmaceutically acceptable salt thereof and the opioid receptor antagonist is naltrexone. And preparing the granules of the orally disintegrating tablet according to item 2 of the Shenjing patent scope, wherein the granules comprise an amino acid salt-substituted monosaccharide or a pharmaceutically acceptable salt or derivative thereof; </ RTI> </ RTI> </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> Mixing the sword and optionally the pharmaceutically acceptable excipient I53421.doc 201127375; and compressing the mixture to form the orally disintegrating 28. The method of claim 27, Standing. These include: ', 丨 preparing the granules A sulfamate-substituted monosaccharide or a pharmaceutically thereof. a salt or a derivative and a binder are dissolved in a pharmaceutically acceptable compound; 彳: accepting a methyl group to form a monosaccharide solution substituted with an amino acid salt; and a solvent to replace the monosaccharide solution substituted with the sulfamate salt The coating is applied to the case and the above pharmaceutically acceptable solvent is evaporated to form the microparticles 29. As described in claim 28, the scope is as described in claim 28. The granule-step includes: , 'In the case of the preparation of the micro-particles: a mono-amino acid-substituted monosaccharide or a pharmaceutically acceptable plurality of polymer-drying agents for granulation to open the filling of f: The microparticles are formed by the agent and only one or both. 30. If you apply for the patent scope, the 27th law. The method of making a package comprising agglomerating wherein the coating comprises fluidization 31. The method of bed coating as described in claim 27 of the patent application. The method of claim 27, wherein the compression system is such that the rotary (four) tablet machine is equipped with an external lubrication system for pre-lubricating the mold and the punch. 33. The orally disintegrating tablet of claim 2, further comprising one or more pharmaceutically acceptable excipients comprising one of I53421.doc 201127375 flavoring agent and/or one increase Sweetener. 34. A method of treating a patient having a partial or primary systemic tonic-clonic seizure, an epileptic seizure associated with Lennox-Gastaut syndrome, and/or dysphagia, the method comprising The patient is administered an effective amount of oral disintegration as described in item 2 of the patent application. 153421.doc 201127375 IV. Designation of representative drawings: (1) The representative representative of the case is: (none) (2) A brief description of the component symbol: 5. If there is a chemical formula in this case, please disclose the chemical formula that best shows the characteristics of the invention: 153421.doc153421.doc
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